JERRY KRUSE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****22

License Status

ACTIVE

Business

First Name

JERRY

Last Name

KRUSE

Suffix

Business Name

JERRY KRUSE MD

Original Issue Date

07/14/1984

Effective Date

08/04/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62703

County

ADAMS

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/04/2023