TERRY WAYNE LOVE DO 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

TERRY WAYNE

Last Name

LOVE

Suffix

Business Name

TERRY WAYNE LOVE DO

Original Issue Date

01/01/1997

Expiration Date

07/31/1990

City

SHERIDAN

State

Zip

60551

County

LA SALLE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020