DENNIS J CRNKOVICH Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****20

License Status

NOT RENEWED

Business

First Name

DENNIS J

Last Name

CRNKOVICH

Business Name

DENNIS J CRNKOVICH

Original Issue Date

03/29/1990

Effective Date

08/11/2020

Expiration Date

07/31/2023

City

MORTON

State

Zip

61550

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023