TERRY L FURGIUELE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****80

License Status

NOT RENEWED

Business

First Name

TERRY

Middle

Last Name

FURGIUELE

Suffix

Business Name

TERRY L FURGIUELE MD

Original Issue Date

07/23/1992

Effective Date

07/23/1992

Expiration Date

07/31/1999

City

PEORIA

State

Zip

61637

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011