PABLO ERMELO PEREZ JR MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125033294

License Status

EXPIRED

Business

First Name

PABLO

Middle

ERMELO

Last Name

PEREZ

Suffix

JR MD

Business Name

PABLO ERMELO PEREZ JR MD

Original Issue Date

06/12/1995

Effective Date

06/12/1995

Expiration Date

06/30/1998

City

PEORIA

State

Zip

61603

County

PEORIA

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006