GEORGE E MIGUEL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****23

License Status

NOT RENEWED

Business

First Name

GEORGE

Middle

Last Name

MIGUEL

Suffix

Business Name

GEORGE E MIGUEL MD

Original Issue Date

06/13/2002

Effective Date

06/13/2002

Expiration Date

07/31/2005

City

LOCKPORT

State

Zip

60441

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020