CHRISTINE M CISNEROS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****29

License Status

NOT RENEWED

Business

First Name

CHRISTINE

Middle

Last Name

CISNEROS

Suffix

Business Name

CHRISTINE M CISNEROS MD

Original Issue Date

04/09/2003

Effective Date

07/31/2014

Expiration Date

07/31/2017

City

DANVILLE

State

Zip

61834

County

VERMILION

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017