JOSE B BERNAL JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****59

License Status

NOT RENEWED

Business

First Name

JOSE

Middle

Last Name

BERNAL

Suffix

JR MD

Business Name

JOSE B BERNAL JR MD

Original Issue Date

01/01/1997

Expiration Date

07/31/2002

City

PEKIN

State

Zip

61554

County

TAZEWELL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006