JUDE JOSEPH PEREZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****26

License Status

NOT RENEWED

Business

First Name

JUDE

Middle

JOSEPH

Last Name

PEREZ

Suffix

Business Name

JUDE JOSEPH PEREZ MD

Original Issue Date

04/23/2008

Effective Date

04/16/2014

Expiration Date

07/31/2017

City

ROCKFORD

State

Zip

61101

County

WINNEBAGO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020