JEROME FLORIBERT SICKLEY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****58

License Status

NOT RENEWED

Business

First Name

JEROME FLORIBERT

Last Name

SICKLEY

Suffix

Business Name

JEROME FLORIBERT SICKLEY MD

Original Issue Date

01/01/1997

Effective Date

08/12/2008

Expiration Date

07/31/2011

City

PERU

State

Zip

61354

County

LA SALLE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011