EUSEBIO EMMANUEL SERRANO FERRER MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****53

License Status

CANCELLED

Business

First Name

EUSEBIO EMMANUEL

Middle

SERRANO

Last Name

FERRER

Suffix

Business Name

EUSEBIO EMMANUEL SERRANO FERRER MD

Original Issue Date

04/13/2005

Effective Date

06/24/2008

Expiration Date

07/31/2011

City

EFFINGHAM

State

Zip

62401

County

EFFINGHAM

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011