TROY E PEQUETTE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****95

License Status

ACTIVE

Business

First Name

TROY

Middle

Last Name

PEQUETTE

Suffix

Business Name

TROY E PEQUETTE MD

Original Issue Date

10/13/1998

Effective Date

05/04/2023

Expiration Date

07/31/2026

City

WASHINGTON

State

Zip

61571

County

TAZEWELL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/04/2023