CARLOS CASTANEDA Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****25

License Status

NOT RENEWED

Business

First Name

CARLOS

Last Name

CASTANEDA

Business Name

CARLOS CASTANEDA

Original Issue Date

01/26/2007

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

BERWYN

State

Zip

60402

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011