JOHN ANTHONY DUSTMAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****79

License Status

NOT RENEWED

Business

First Name

JOHN ANTHONY

Last Name

DUSTMAN

Suffix

Business Name

JOHN ANTHONY DUSTMAN MD

Original Issue Date

08/21/2017

Effective Date

08/03/2020

Expiration Date

07/31/2023

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023