EDWIN VEGUILLA Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****28

License Status

NOT RENEWED

Business

First Name

EDWIN

Last Name

VEGUILLA

Business Name

EDWIN VEGUILLA

Original Issue Date

12/29/1992

Effective Date

07/28/2011

Expiration Date

07/31/2014

City

JOLIET

State

Zip

60431

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014