HENRY LAWRENCE ALEJO DUMBAB MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****51

License Status

NOT RENEWED

Business

Title

First Name

HENRY LAWRENCE

Middle

ALEJO

Last Name

DUMBAB

Business Name

HENRY LAWRENCE ALEJO DUMBAB MD

Original Issue Date

07/09/2012

Effective Date

07/09/2012

Expiration Date

07/31/2014

City

SPRINGFIELD

State

Zip

62769

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

04/05/2020