AMANDA SUE WRIGHT DO

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****99

NOT RENEWED

N

DO

AMANDA

SUE

WRIGHT

AMANDA SUE WRIGHT DO

08/24/2009

06/11/2014

07/31/2017

PEORIA

IL

61615

PEORIA

PRACTITIONER

II III IV V

N

11/01/2017