EDWIN VEGUILLA Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036084919

License Status

NOT RENEWED

Business

First Name

EDWIN

Last Name

VEGUILLA

Business Name

EDWIN VEGUILLA

Original Issue Date

07/20/1992

Effective Date

07/28/2011

Expiration Date

07/31/2014

City

WESTERN SPRINGS

State

Zip

60558

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014