GUSTAVO ADOLFO ESPINOSA 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

GUSTAVO

Middle

ADOLFO

Last Name

ESPINOSA

Business Name

GUSTAVO ADOLFO ESPINOSA

Original Issue Date

06/03/2004

Effective Date

07/28/2008

Expiration Date

07/31/2011

City

PEORIA

State

Zip

61602

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011