CONNOR R DEAL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****36

License Status

NOT RENEWED

Business

First Name

CONNOR

Middle

Last Name

DEAL

Suffix

Business Name

CONNOR R DEAL MD

Original Issue Date

02/08/2019

Effective Date

02/08/2019

Expiration Date

09/30/2020

City

MATTOON

State

Zip

61938

County

COLES

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021