PETER S DUMICH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****85

License Status

NOT RENEWED

Business

First Name

PETER

Middle

Last Name

DUMICH

Suffix

Business Name

PETER S DUMICH MD

Original Issue Date

07/22/1986

Effective Date

07/20/2011

Expiration Date

07/31/2014

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020