ANTONIO M YANIZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****32

License Status

NOT RENEWED

Business

First Name

ANTONIO M

Last Name

YANIZ

Suffix

Business Name

ANTONIO M YANIZ MD

Original Issue Date

07/17/1990

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

BOURBONNAIS

State

Zip

60914

County

KANKAKEE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011