JUAN SAITIS TRIANTAFILO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****14

License Status

NOT RENEWED

Business

First Name

JUAN SAITIS

Last Name

TRIANTAFILO

Suffix

Business Name

JUAN SAITIS TRIANTAFILO MD

Original Issue Date

03/10/1982

Effective Date

06/24/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60656

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011