RONALD PETER KONCHANIN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****12

License Status

ACTIVE

Business

First Name

RONALD

Middle

PETER

Last Name

KONCHANIN

Suffix

Business Name

RONALD PETER KONCHANIN MD

Original Issue Date

05/10/1999

Effective Date

06/21/2023

Expiration Date

07/31/2026

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

06/21/2023