DOMINIC LEE PHEMISTER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****27

License Status

ACTIVE

Business

Title

First Name

DOMINIC

Middle

LEE

Last Name

PHEMISTER

Business Name

DOMINIC LEE PHEMISTER MD

Original Issue Date

12/22/2020

Effective Date

05/29/2023

Expiration Date

07/31/2026

City

CARBONDALE

State

Zip

62901

County

JACKSON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/29/2023