DENNIS R BANDUCCI 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

First Name

DENNIS R

Last Name

BANDUCCI

Suffix

Business Name

DENNIS R BANDUCCI MD

Original Issue Date

08/06/1987

Effective Date

08/06/1987

Expiration Date

07/31/1990

City

SPRINGFIELD

State

Zip

62769

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006