JAIME E PEREA Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****28

License Status

NOT RENEWED

Business

First Name

JAIME E

Last Name

PEREA

Business Name

JAIME E PEREA

Original Issue Date

09/01/1995

Effective Date

06/10/2008

Expiration Date

07/31/2011

City

GURNEE

State

Zip

60031

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011