KENNETH RICHARD VELLEMAN M.D. Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****24

License Status

ACTIVE

Business

Title

M.D.

First Name

KENNETH

Middle

RICHARD

Last Name

VELLEMAN

Business Name

KENNETH RICHARD VELLEMAN M.D.

Original Issue Date

10/03/2025

Effective Date

10/03/2025

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61637

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/03/2025