ANTHONY PERRE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****53

License Status

NOT RENEWED

Business

Title

First Name

ANTHONY

Last Name

PERRE

Business Name

ANTHONY PERRE MD

Original Issue Date

07/30/2009

Effective Date

07/30/2009

Expiration Date

07/31/2011

City

ZION

State

Zip

60099

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011