JOSE G TREVINO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****55

License Status

NOT RENEWED

Business

First Name

JOSE

Middle

Last Name

TREVINO

Business Name

JOSE G TREVINO

Original Issue Date

12/17/2003

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

BERWYN

State

Zip

60402

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017