PETER K ECKEL Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****03

License Status

NOT RENEWED

Business

First Name

PETER K

Last Name

ECKEL

Business Name

PETER K ECKEL

Original Issue Date

06/25/2008

Effective Date

06/25/2008

Expiration Date

07/31/2011

City

DANVILLE

State

Zip

61832

County

VERMILION

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011