TOMAS NICOLAS PADILLA JR 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

TOMAS NICOLAS

Last Name

PADILLA JR

Business Name

TOMAS NICOLAS PADILLA JR

Original Issue Date

05/10/1994

Effective Date

05/10/1994

Expiration Date

07/31/1999

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017