ENRIQUE D GARCIA-SAYAN RIVAS 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

Title

First Name

ENRIQUE

Middle

Last Name

GARCIA-SAYAN RIVAS

Business Name

ENRIQUE D GARCIA-SAYAN RIVAS MD

Original Issue Date

03/04/2009

Effective Date

07/15/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60616

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017