EUGENIO M SALAZAR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****20

License Status

NOT RENEWED

Business

First Name

EUGENIO M

Last Name

SALAZAR

Suffix

Business Name

EUGENIO M SALAZAR MD

Original Issue Date

09/20/1984

Effective Date

07/24/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60623

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017