DEANNA FAE DUCOMB MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****90

License Status

NOT RENEWED

Business

First Name

DEANNA FAE

Last Name

DUCOMB

Suffix

Business Name

DEANNA FAE DUCOMB MD

Original Issue Date

09/18/1990

Effective Date

09/18/1990

Expiration Date

07/31/1996

City

BREESE

State

Zip

62230

County

CLINTON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020