DWAYNE P BERNARD MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125020500

License Status

EXPIRED

Business

Title

First Name

DWAYNE P

Last Name

BERNARD

Business Name

DWAYNE P BERNARD MD

Original Issue Date

04/22/1987

Effective Date

04/22/1987

Expiration Date

07/01/1990

City

PEORIA

State

Zip

61637

County

PEORIA

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

09/22/2006