DWAYNE BERNARD BUCHANAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****05

License Status

ACTIVE

Business

First Name

DWAYNE

Middle

BERNARD

Last Name

BUCHANAN

Suffix

Business Name

DWAYNE BERNARD BUCHANAN MD

Original Issue Date

02/24/2010

Effective Date

06/13/2023

Expiration Date

07/31/2026

City

BLOOMINGDALE

State

Zip

60108

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/13/2023