DONALD F KONCHAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****04

License Status

NOT RENEWED

Business

First Name

DONALD F

Last Name

KONCHAN

Suffix

Business Name

DONALD F KONCHAN MD

Original Issue Date

07/19/1988

Effective Date

07/19/1988

Expiration Date

07/31/1990

City

SPRINGFIELD

State

Zip

62769

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006