LUIS E UGARTE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****15

License Status

NOT RENEWED

Business

First Name

LUIS E

Last Name

UGARTE

Suffix

Business Name

LUIS E UGARTE MD

Original Issue Date

08/11/1993

Effective Date

08/11/1993

Expiration Date

07/31/1996

City

MERRIONETTE PARK

State

Zip

60655

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020