MARK D PLUNKETT MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****29

License Status

ACTIVE

Business

First Name

MARK D

Last Name

PLUNKETT

Suffix

Business Name

MARK D PLUNKETT MD

Original Issue Date

07/25/1996

Effective Date

07/08/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61603

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/08/2023