SYAM P KILARU Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****08

License Status

NOT RENEWED

Business

First Name

SYAM P

Last Name

KILARU

Business Name

SYAM P KILARU

Original Issue Date

07/19/1995

Effective Date

07/19/1995

Expiration Date

07/31/2005

City

PEORIA

State

Zip

61615

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011