DAVID ANDREW DUSEK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****25

License Status

NOT RENEWED

Business

Title

First Name

DAVID

Middle

ANDREW

Last Name

DUSEK

Business Name

DAVID ANDREW DUSEK MD

Original Issue Date

07/10/2008

Effective Date

07/10/2008

Expiration Date

07/31/2011

City

PEORIA

State

Zip

61637

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020