JEREMY RALPH MONROE DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036128904

License Status

NOT RENEWED

Business

Title

First Name

JEREMY

Middle

RALPH

Last Name

MONROE

Business Name

JEREMY RALPH MONROE DO

Original Issue Date

08/31/2011

Effective Date

04/28/2014

Expiration Date

07/31/2017

City

PEORIA

State

Zip

61637

County

PEORIA

Ever Disciplined

LastModifiedDate

11/01/2017