LUIS TREVINO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036036315

License Status

NOT RENEWED

Business

First Name

LUIS

Last Name

TREVINO

Suffix

Business Name

LUIS TREVINO MD

Original Issue Date

11/25/1959

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2011