JUAN EUGENIO TOD GONZALEZ 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

JUAN EUGENIO TOD

Last Name

GONZALEZ

Business Name

JUAN EUGENIO TOD GONZALEZ

Original Issue Date

12/18/1996

Effective Date

12/18/1996

Expiration Date

07/31/1999

City

CHICAGO

State

Zip

60616

County

COOK

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

09/26/2006