BEVERLEY L KETEL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036051866

License Status

NOT RENEWED

Business

First Name

BEVERLEY

Middle

Last Name

KETEL

Suffix

Business Name

BEVERLEY L KETEL MD

Original Issue Date

09/12/1975

Effective Date

04/24/2017

Expiration Date

09/30/2020

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

01/14/2021