AMBROSIO P MENDIOLA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****31

License Status

NOT RENEWED

Business

First Name

AMBROSIO P

Last Name

MENDIOLA

Suffix

Business Name

AMBROSIO P MENDIOLA MD

Original Issue Date

05/24/1983

Effective Date

05/24/1983

Expiration Date

07/31/1996

City

CHICAGO

State

Zip

60655

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006