DOUGLAS R JUVINALL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****36

License Status

ACTIVE

Business

Title

First Name

DOUGLAS

Middle

Last Name

JUVINALL

Business Name

DOUGLAS R JUVINALL MD

Original Issue Date

04/10/2018

Effective Date

04/28/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61603

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/28/2023