BEVERLEY L KETEL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****61

License Status

NOT RENEWED

Business

First Name

BEVERLEY

Middle

Last Name

KETEL

Suffix

Business Name

BEVERLEY L KETEL MD

Original Issue Date

03/06/2002

Effective Date

06/09/2014

Expiration Date

07/31/2017

City

PEORIA

State

Zip

61603

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020