CARMEN R MEJIA-CARVAJAL MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****11

License Status

CANCELLED

Business

First Name

CARMEN

Middle

Last Name

MEJIA-CARVAJAL

Suffix

Business Name

CARMEN R MEJIA-CARVAJAL MD

Original Issue Date

08/15/2006

Effective Date

08/15/2006

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/17/2008