ISAAC HUMBERTO TREJO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****21

License Status

NOT RENEWED

Business

First Name

ISAAC

Middle

HUMBERTO

Last Name

TREJO

Suffix

Business Name

ISAAC HUMBERTO TREJO MD

Original Issue Date

01/01/1997

Expiration Date

07/31/2005

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011