RONALD PETER KONCHANIN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036100175

License Status

ACTIVE

Business

First Name

RONALD

Middle

PETER

Last Name

KONCHANIN

Suffix

Business Name

RONALD PETER KONCHANIN MD

Original Issue Date

05/10/1999

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

04/07/2023