GARY STEPHEN NACE MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****13

License Status

CANCELLED

Business

First Name

GARY

Middle

STEPHEN

Last Name

NACE

Suffix

Business Name

GARY STEPHEN NACE MD

Original Issue Date

01/17/2003

Effective Date

05/27/2008

Expiration Date

07/31/2011

City

PEORIA

State

Zip

61637

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011