GEORGE B BERANEK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****42

License Status

NOT RENEWED

Business

Title

First Name

GEORGE

Middle

Last Name

BERANEK

Business Name

GEORGE B BERANEK MD

Original Issue Date

03/06/1987

Effective Date

04/21/2016

Expiration Date

07/31/2017

City

MONMOUTH

State

Zip

61462

County

WARREN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020