LAWRENCE F DUNKELBERGER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****22

License Status

NOT RENEWED

Business

First Name

LAWRENCE

Middle

Last Name

DUNKELBERGER

Suffix

Business Name

LAWRENCE F DUNKELBERGER MD

Original Issue Date

08/15/1990

Effective Date

08/15/1990

Expiration Date

07/31/2002

City

PEORIA

State

Zip

61603

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020