DONALD B SCHAK SR Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****50

License Status

NOT RENEWED

Business

First Name

DONALD

Middle

Last Name

SCHAK SR

Suffix

Business Name

DONALD B SCHAK SR

Original Issue Date

05/28/1998

Effective Date

05/28/1998

Expiration Date

07/31/1999

City

PEORIA

State

Zip

61603

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006