JOSE P MUTIA MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****01

License Status

INACTIVE

Business

First Name

JOSE P

Last Name

MUTIA

Suffix

Business Name

JOSE P MUTIA MD

Original Issue Date

08/19/1982

Effective Date

08/19/1982

Expiration Date

07/31/1984

City

CHICAGO

State

Zip

60618

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006