ISABELO MAANO EVANGELISTA JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****33

License Status

NOT RENEWED

Business

First Name

ISABELO MAANO

Last Name

EVANGELISTA JR

Suffix

Business Name

ISABELO MAANO EVANGELISTA JR MD

Original Issue Date

01/01/1997

Effective Date

06/02/2014

Expiration Date

07/31/2017

City

HOFFMAN ESTATES

State

Zip

60195

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020