DESI L DENNIS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036130511

License Status

ACTIVE

Business

Title

First Name

DESI

Middle

Last Name

DENNIS

Business Name

DESI L DENNIS MD

Original Issue Date

06/07/2012

Effective Date

06/06/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Ever Disciplined

LastModifiedDate

04/17/2025