TEODORO M COLLANTES MD 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

TEODORO M

Last Name

COLLANTES

Suffix

Business Name

TEODORO M COLLANTES MD

Original Issue Date

11/23/1981

Effective Date

11/23/1981

Expiration Date

07/31/1999

City

CHICAGO HEIGHTS

State

Zip

60411

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006