EDGAR ALBERTO TREVINO MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125050472

License Status

CANCELLED

Business

Title

First Name

EDGAR

Middle

ALBERTO

Last Name

TREVINO

Business Name

EDGAR ALBERTO TREVINO MD

Original Issue Date

07/14/2005

Effective Date

07/14/2005

Expiration Date

07/13/2008

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

08/27/2008