PROSPERO M SENDAYDIEGO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****26

License Status

NOT RENEWED

Business

First Name

PROSPERO M

Last Name

SENDAYDIEGO

Suffix

Business Name

PROSPERO M SENDAYDIEGO MD

Original Issue Date

12/12/1996

Effective Date

12/12/1996

Expiration Date

07/31/1999

City

LAKE ZURICH

State

Zip

60047

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006