GAIL FERRELL STREATER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****15

License Status

ACTIVE

Business

First Name

GAIL

Middle

FERRELL

Last Name

STREATER

Suffix

Business Name

GAIL FERRELL STREATER MD

Original Issue Date

03/13/2007

Effective Date

07/28/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61637

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/28/2023