GERALD BORIS BELOPOLSKY MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****23

License Status

CANCELLED

Business

First Name

GERALD

Middle

BORIS

Last Name

BELOPOLSKY

Suffix

Business Name

GERALD BORIS BELOPOLSKY MD

Original Issue Date

12/09/2005

Effective Date

07/10/2008

Expiration Date

07/31/2011

City

PEORIA

State

Zip

61606

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011