DEANNA FAE DUCOMB MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****91

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

07/31/1993

City

WOOD RIVER

State

Zip

62095

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020