PETER DAVID VINCENT FREEMAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****94

License Status

NOT RENEWED

Business

Title

First Name

PETER

Middle

DAVID VINCENT

Last Name

FREEMAN

Business Name

PETER DAVID VINCENT FREEMAN MD

Original Issue Date

08/13/2015

Effective Date

08/13/2015

Expiration Date

07/31/2017

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017