MARION DOUGLAS DORN JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****15

License Status

NOT RENEWED

Business

First Name

MARION DOUGLAS

Last Name

DORN JR

Suffix

Business Name

MARION DOUGLAS DORN JR MD

Original Issue Date

12/04/1992

Effective Date

12/04/1992

Expiration Date

07/31/1999

City

ELDORADO

State

Zip

62930

County

SALINE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006

Case Number

1996002208

Action

Revocation

Discipline Start Date

12/21/1996

Discipline Reason

Diverted prescriptions for Hydrocodene to himself during a relapse of chemical dependency.