HERNAN PRIETO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****04

License Status

NOT RENEWED

Business

First Name

HERNAN

Last Name

PRIETO

Suffix

Business Name

HERNAN PRIETO MD

Original Issue Date

01/01/1997

Expiration Date

09/01/1982

City

NORTHBROOK

State

Zip

60062

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006