CONSTANTINO PERALES MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036067198

License Status

NOT RENEWED

Business

First Name

CONSTANTINO

Last Name

PERALES

Suffix

Business Name

CONSTANTINO PERALES MD

Original Issue Date

08/02/1983

Effective Date

05/25/2011

Expiration Date

07/31/2014

City

PERU

State

Zip

61354

County

LA SALLE

Ever Disciplined

LastModifiedDate

12/16/2020

Case Number

2013007036

Action

Revocation

Discipline Start Date

12/14/2020

Discipline Reason

physician and surgeon license revoked for criminal sentence in October 2018.