SCOTT CARMODY DULEBOHN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125023813

License Status

EXPIRED

Business

Title

First Name

SCOTT

Middle

CARMODY

Last Name

DULEBOHN

Business Name

SCOTT CARMODY DULEBOHN MD

Original Issue Date

05/16/1989

Effective Date

05/16/1989

Expiration Date

06/30/1995

City

PEORIA

State

Zip

61637

County

PEORIA

Specialty/Qualifier

Addiction Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006