BEVERLEY L KETEL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****65

License Status

NOT RENEWED

Business

First Name

BEVERLEY

Middle

Last Name

KETEL

Suffix

Business Name

BEVERLEY L KETEL MD

Original Issue Date

01/01/1997

Expiration Date

07/31/1993

City

PEORIA

State

Zip

61603

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020