DREW R VAN KERREBROECK Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****31

License Status

ACTIVE

Business

First Name

DREW

Middle

Last Name

VAN KERREBROECK

Business Name

DREW R VAN KERREBROECK

Original Issue Date

05/08/2002

Effective Date

07/06/2023

Expiration Date

07/31/2026

City

GENESEO

State

Zip

61254

County

HENRY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/06/2023