CONSTANTINO PERALES MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****09

License Status

NOT RENEWED

Business

First Name

CONSTANTINO

Last Name

PERALES

Suffix

Business Name

CONSTANTINO PERALES MD

Original Issue Date

08/09/1983

Effective Date

05/25/2011

Expiration Date

07/31/2014

City

PERU

State

Zip

61354

County

LA SALLE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/16/2020

Case Number

2013007036

Action

Revocation

Discipline Start Date

12/14/2020

Discipline Reason

controlled substance license revoked for criminal sentence in October 2018.