ERIC DAVID ENGERON MD 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

ERIC DAVID

Last Name

ENGERON

Suffix

Business Name

ERIC DAVID ENGERON MD

Original Issue Date

07/17/1996

Effective Date

07/17/1996

Expiration Date

07/31/1999

City

NORTH CHICAGO

State

Zip

60064

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006