PABLO ERMELO PEREZ JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****82

License Status

NOT RENEWED

Business

First Name

PABLO

Middle

ERMELO

Last Name

PEREZ

Suffix

JR MD

Business Name

PABLO ERMELO PEREZ JR MD

Original Issue Date

08/27/1997

Effective Date

08/27/1997

Expiration Date

07/31/2002

City

PEORIA

State

Zip

61615

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020