DAVID JOHN DORMANDY JR DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****41

License Status

NOT RENEWED

Business

Title

First Name

DAVID

Middle

JOHN

Last Name

DORMANDY

Suffix

Business Name

DAVID JOHN DORMANDY JR DO

Original Issue Date

08/28/2017

Effective Date

08/28/2017

Expiration Date

09/30/2020

City

NORRIDGE

State

Zip

60706

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021