GHALY R KEROLUS MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****00

License Status

CANCELLED

Business

First Name

GHALY R

Last Name

KEROLUS

Suffix

Business Name

GHALY R KEROLUS MD

Original Issue Date

08/11/1994

Effective Date

08/11/1994

Expiration Date

07/31/1996

City

PEORIA

State

Zip

61603

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020