SAMUEL JOSEPH PERA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125067412

License Status

EXPIRED

Business

Title

First Name

SAMUEL

Middle

JOSEPH

Last Name

PERA

Business Name

SAMUEL JOSEPH PERA MD

Original Issue Date

07/03/2018

Effective Date

07/03/2018

Expiration Date

07/02/2020

City

PEORIA

State

Zip

61605

County

PEORIA

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

11/19/2020