JORGE ALEJANDRO ROQUE Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****08

License Status

NOT RENEWED

Business

First Name

JORGE ALEJANDRO

Last Name

ROQUE

Business Name

JORGE ALEJANDRO ROQUE

Original Issue Date

11/21/1994

Effective Date

11/21/1994

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60641

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006