GEORGE B BERANEK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****68

License Status

ACTIVE

Business

Title

First Name

GEORGE

Middle

Last Name

BERANEK

Business Name

GEORGE B BERANEK MD

Original Issue Date

06/24/2022

Effective Date

07/27/2023

Expiration Date

07/31/2026

City

PEKIN

State

Zip

61554

County

TAZEWELL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/27/2023