KERRI RENEE SISTRUNK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****40

License Status

NOT RENEWED

Business

First Name

KERRI

Middle

RENEE

Last Name

SISTRUNK

Suffix

Business Name

KERRI RENEE SISTRUNK MD

Original Issue Date

07/18/2008

Effective Date

07/18/2008

Expiration Date

07/31/2011

City

PEORIA

State

Zip

61637

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011