EUSEBIO EMMANUEL SERRANO FERRER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****20

License Status

NOT RENEWED

Business

First Name

EUSEBIO EMMANUEL

Middle

SERRANO

Last Name

FERRER

Suffix

Business Name

EUSEBIO EMMANUEL SERRANO FERRER MD

Original Issue Date

08/15/2005

Effective Date

08/15/2005

Expiration Date

07/31/2008

City

EFFINGHAM

State

Zip

62401

County

EFFINGHAM

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011