MICHELE M PEPPERELL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****29

License Status

NOT RENEWED

Business

First Name

MICHELE

Middle

Last Name

PEPPERELL

Suffix

Business Name

MICHELE M PEPPERELL MD

Original Issue Date

04/06/2004

Effective Date

04/06/2004

Expiration Date

07/31/2008

City

PEORIA

State

Zip

61604

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008