ISAAC ERNESTO TRELLES MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****00

License Status

NOT RENEWED

Business

Title

First Name

ISAAC

Middle

ERNESTO

Last Name

TRELLES

Business Name

ISAAC ERNESTO TRELLES MD

Original Issue Date

06/19/2008

Effective Date

06/19/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011