ROGER AUGUSTO MONTENEGRO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****50

License Status

NOT RENEWED

Business

First Name

ROGER

Middle

AUGUSTO

Last Name

MONTENEGRO

Suffix

Business Name

ROGER AUGUSTO MONTENEGRO MD

Original Issue Date

08/24/2005

Effective Date

06/11/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011