AMANDA RENEE DUPRE DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****82

License Status

ACTIVE

Business

Title

First Name

AMANDA

Middle

RENEE

Last Name

DUPRE

Business Name

AMANDA RENEE DUPRE DO

Original Issue Date

06/13/2022

Effective Date

04/11/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61602

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/11/2023