PETER J TERRY Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****87

License Status

NOT RENEWED

Business

First Name

PETER

Middle

Last Name

TERRY

Business Name

PETER J TERRY

Original Issue Date

08/31/1998

Effective Date

08/31/1998

Expiration Date

07/31/1999

City

PEORIA

State

Zip

61602

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006