JACOB BRAD RABE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****64

License Status

NOT RENEWED

Business

Title

First Name

JACOB

Middle

BRAD

Last Name

RABE

Business Name

JACOB BRAD RABE MD

Original Issue Date

12/16/2013

Effective Date

12/16/2013

Expiration Date

07/31/2014

City

PEORIA

State

Zip

61604

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014