GEORGE B BERANEK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****33

License Status

NOT RENEWED

Business

Title

First Name

GEORGE

Middle

Last Name

BERANEK

Business Name

GEORGE B BERANEK MD

Original Issue Date

08/01/2014

Effective Date

08/01/2014

Expiration Date

07/31/2017

City

PEKIN

State

Zip

61554

County

TAZEWELL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020