EDGAR ALBERTO TREVINO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****17

License Status

NOT RENEWED

Business

Title

First Name

EDGAR

Middle

ALBERTO

Last Name

TREVINO

Business Name

EDGAR ALBERTO TREVINO MD

Original Issue Date

09/19/2007

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

11/10/2011