MIR KWON W VARQUEZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****02

License Status

NOT RENEWED

Business

First Name

MIR KWON W

Last Name

VARQUEZ

Suffix

Business Name

MIR KWON W VARQUEZ MD

Original Issue Date

08/18/1992

Effective Date

08/18/1992

Expiration Date

07/31/1996

City

CHICAGO

State

Zip

60650

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006