CARLA B GREBY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****67

License Status

NOT RENEWED

Business

First Name

CARLA B

Last Name

GREBY

Suffix

Business Name

CARLA B GREBY MD

Original Issue Date

04/17/1985

Effective Date

07/18/2011

Expiration Date

07/31/2014

City

KEWANEE

State

Zip

61443

County

HENRY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014

Case Number

1996000666

Action

Probation

Discipline Start Date

12/15/2003

Discipline End Date

12/14/2004