CESAR A EGOAVIL Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****19

License Status

NOT RENEWED

Business

First Name

CESAR

Middle

Last Name

EGOAVIL

Business Name

CESAR A EGOAVIL

Original Issue Date

09/11/2000

Effective Date

09/11/2000

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60657

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006