LUIS O BACAYO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****42

License Status

NOT RENEWED

Business

First Name

LUIS O

Last Name

BACAYO

Suffix

Business Name

LUIS O BACAYO MD

Original Issue Date

01/01/1997

Expiration Date

07/31/1999

City

RANSOM

State

Zip

60470

County

LA SALLE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006

Case Number

1991003082

Action

Probation

Discipline Start Date

03/29/1999

Discipline End Date

11/13/2001

Discipline Reason

Failed to comply with a previously ordered probation.