KRISTINE SUE PERCY 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

Title

First Name

KRISTINE

Middle

SUE

Last Name

PERCY

Business Name

KRISTINE SUE PERCY MD

Original Issue Date

03/17/2010

Effective Date

07/31/2014

Expiration Date

07/31/2017

City

ELMWOOD

State

Zip

61529

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017