ROGELIO GUSTAVO PEREZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****03

License Status

NOT RENEWED

Business

First Name

ROGELIO

Middle

GUSTAVO

Last Name

PEREZ

Suffix

Business Name

ROGELIO GUSTAVO PEREZ MD

Original Issue Date

07/14/1998

Effective Date

07/14/1998

Expiration Date

07/31/1999

City

LAKE BLUFF

State

Zip

60044

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006