NELSON M PICHARDO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****58

License Status

NOT RENEWED

Business

First Name

NELSON M

Last Name

PICHARDO

Business Name

NELSON M PICHARDO

Original Issue Date

10/10/1995

Effective Date

10/10/1995

Expiration Date

07/31/1996

City

CHICAGO

State

Zip

60657

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006