HUSAM H SUKEREK Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****62

License Status

NOT RENEWED

Business

First Name

HUSAM

Middle

Last Name

SUKEREK

Business Name

HUSAM H SUKEREK

Original Issue Date

03/16/1998

Effective Date

03/16/1998

Expiration Date

07/31/1999

City

PEORIA

State

Zip

61637

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006