DIONNA MARIE PENDLETON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****96

License Status

ACTIVE

Business

First Name

DIONNA

Middle

MARIE

Last Name

PENDLETON

Suffix

Business Name

DIONNA MARIE PENDLETON MD

Original Issue Date

07/23/2009

Effective Date

05/20/2023

Expiration Date

07/31/2026

City

NORMAL

State

Zip

61761

County

MCLEAN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/20/2023