KEVIN DIMAS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****60

License Status

ACTIVE

Business

Title

First Name

KEVIN

Last Name

DIMAS

Business Name

KEVIN DIMAS MD

Original Issue Date

05/17/2022

Effective Date

06/28/2023

Expiration Date

07/31/2026

City

DAVENPORT

State

Zip

52807

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/28/2023