AGUSTIN A GARCIA CABALLERO MON Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****38

License Status

NOT RENEWED

Business

First Name

AGUSTIN A

Last Name

GARCIA CABALLERO MON

Business Name

AGUSTIN A GARCIA CABALLERO MON

Original Issue Date

10/06/1993

Effective Date

10/06/1993

Expiration Date

07/31/1996

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006