JUAN CARLOS V SOLIVEN Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****09

License Status

CANCELLED

Business

First Name

JUAN CARLOS V

Last Name

SOLIVEN

Business Name

JUAN CARLOS V SOLIVEN

Original Issue Date

11/21/1994

Effective Date

11/21/1994

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60616

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006