LUIS A EGUIGUREN-LEON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****44

License Status

NOT RENEWED

Business

First Name

LUIS A

Last Name

EGUIGUREN-LEON

Suffix

Business Name

LUIS A EGUIGUREN-LEON MD

Original Issue Date

02/22/1994

Effective Date

02/22/1994

Expiration Date

07/31/1996

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

09/26/2006