DONALD B SCHAK SR Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125033932

License Status

EXPIRED

Business

First Name

DONALD

Middle

Last Name

SCHAK SR

Suffix

Business Name

DONALD B SCHAK SR

Original Issue Date

09/12/1995

Effective Date

09/12/1995

Expiration Date

09/10/1998

City

PEORIA

State

Zip

61603

County

PEORIA

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006