JAMES MICHAEL DUNNEBACK MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125066524

License Status

CANCELLED

Business

Title

First Name

JAMES

Middle

MICHAEL

Last Name

DUNNEBACK

Business Name

JAMES MICHAEL DUNNEBACK MD

Original Issue Date

07/01/2018

Effective Date

07/01/2018

Expiration Date

06/30/2019

City

PEORIA

State

Zip

61605

County

PEORIA

Specialty/Qualifier

Internal Medicine/Pediatrics

Ever Disciplined

LastModifiedDate

04/16/2018