KERRY K ASSIL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****60

License Status

NOT RENEWED

Business

First Name

KERRY K

Last Name

ASSIL

Suffix

Business Name

KERRY K ASSIL MD

Original Issue Date

12/14/1990

Effective Date

12/14/1990

Expiration Date

07/31/1996

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006