DEANNA FAE DUCOMB MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****89

License Status

ACTIVE

Business

First Name

DEANNA FAE

Last Name

DUCOMB

Suffix

Business Name

DEANNA FAE DUCOMB MD

Original Issue Date

03/22/1988

Effective Date

07/20/2023

Expiration Date

07/31/2026

City

CARLYLE

State

Zip

62231

County

CLINTON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/20/2023