KRISTIN M TREVINO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****41

License Status

NOT RENEWED

Business

Title

First Name

KRISTIN

Middle

Last Name

TREVINO

Business Name

KRISTIN M TREVINO MD

Original Issue Date

06/16/2009

Effective Date

06/22/2011

Expiration Date

07/31/2014

City

PEORIA

State

Zip

61614

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020