JEFFREY PAUL KYROUAC MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****79

License Status

NOT RENEWED

Business

First Name

JEFFREY PAUL

Last Name

KYROUAC

Suffix

Business Name

JEFFREY PAUL KYROUAC MD

Original Issue Date

09/17/1981

Effective Date

06/09/2011

Expiration Date

07/31/2014

City

URBANA

State

Zip

61802

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017