PHILIP EDWARD DINSMORE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****61

License Status

NOT RENEWED

Business

First Name

PHILIP

Middle

EDWARD

Last Name

DINSMORE

Suffix

Business Name

PHILIP EDWARD DINSMORE MD

Original Issue Date

12/21/2004

Effective Date

12/21/2004

Expiration Date

07/31/2008

City

PEORIA

State

Zip

61614

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008