SHIRLEY MAE GUSE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****69

License Status

NOT RENEWED

Business

First Name

SHIRLEY

Middle

MAE

Last Name

GUSE

Suffix

Business Name

SHIRLEY MAE GUSE MD

Original Issue Date

02/09/1995

Effective Date

02/09/1995

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