RICHARD P DRIESSNACK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****95

License Status

NOT RENEWED

Business

First Name

RICHARD P

Last Name

DRIESSNACK

Suffix

Business Name

RICHARD P DRIESSNACK MD

Original Issue Date

08/09/1988

Effective Date

09/15/2020

Expiration Date

07/31/2023

City

PEORIA

State

Zip

61605

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023