RONALD E PEACOCK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****99

License Status

NOT RENEWED

Business

First Name

RONALD E

Last Name

PEACOCK

Suffix

Business Name

RONALD E PEACOCK MD

Original Issue Date

10/10/1983

Effective Date

09/06/2017

Expiration Date

09/30/2020

City

LACON

State

Zip

61540

County

MARSHALL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021