KARL PETER MAXINO UY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****54

License Status

NOT RENEWED

Business

First Name

KARL PETER

Middle

MAXINO

Last Name

Suffix

Business Name

KARL PETER MAXINO UY MD

Original Issue Date

07/22/2009

Effective Date

07/08/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60645

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017