DOUGLAS R JUVINALL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036145307

License Status

ACTIVE

Business

Title

First Name

DOUGLAS

Middle

Last Name

JUVINALL

Business Name

DOUGLAS R JUVINALL MD

Original Issue Date

03/15/2018

Effective Date

04/28/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61603

County

PEORIA

Ever Disciplined

LastModifiedDate

04/28/2023