ROGER AUGUSTO MONTENEGRO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036114422

License Status

NOT RENEWED

Business

First Name

ROGER

Middle

AUGUSTO

Last Name

MONTENEGRO

Suffix

Business Name

ROGER AUGUSTO MONTENEGRO MD

Original Issue Date

08/15/2005

Effective Date

06/11/2008

Expiration Date

07/31/2011

City

LYONS

State

Zip

60534

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2011