AUGUSTO NICOLAS PAREJA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****13

License Status

NOT RENEWED

Business

First Name

AUGUSTO NICOLAS

Last Name

PAREJA

Suffix

Business Name

AUGUSTO NICOLAS PAREJA MD

Original Issue Date

12/15/1982

Effective Date

12/15/1982

Expiration Date

07/31/2002

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020