DWAYNE P BERNARD MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****42

License Status

ACTIVE

Business

Title

First Name

DWAYNE P

Last Name

BERNARD

Business Name

DWAYNE P BERNARD MD

Original Issue Date

01/07/1988

Effective Date

05/02/2023

Expiration Date

07/31/2026

City

CUBA

State

Zip

61427

County

FULTON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/02/2023