DAVID SPENCER ATTAWAY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****93

License Status

NOT RENEWED

Business

Title

First Name

DAVID

Middle

SPENCER

Last Name

ATTAWAY

Business Name

DAVID SPENCER ATTAWAY MD

Original Issue Date

12/15/2020

Effective Date

12/15/2020

Expiration Date

07/31/2023

City

ROCKFORD

State

Zip

61104

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023