JAMES W DIMITROFF MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****31

License Status

NOT RENEWED

Business

First Name

JAMES W

Last Name

DIMITROFF

Suffix

Business Name

JAMES W DIMITROFF MD

Original Issue Date

08/15/1990

Effective Date

08/15/1990

Expiration Date

07/31/1993

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006