JUAN P CEVALLOS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****49

License Status

NOT RENEWED

Business

First Name

JUAN P

Last Name

CEVALLOS

Suffix

Business Name

JUAN P CEVALLOS MD

Original Issue Date

03/03/1989

Effective Date

03/03/1989

Expiration Date

07/31/1996

City

CHICAGO

State

Zip

60634

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006