LUIS TREVINO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****12

License Status

NOT RENEWED

Business

First Name

LUIS

Last Name

TREVINO

Suffix

Business Name

LUIS TREVINO MD

Original Issue Date

08/24/1988

Effective Date

06/16/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60602

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011