HENRY A SAN GERMAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****92

License Status

ACTIVE

Business

First Name

HENRY A

Last Name

SAN GERMAN

Suffix

Business Name

HENRY A SAN GERMAN MD

Original Issue Date

10/28/1993

Effective Date

06/09/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61615

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/09/2023