LUIS TEODORO TEOPENGCO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****60

License Status

NOT RENEWED

Business

First Name

LUIS TEODORO

Last Name

TEOPENGCO

Suffix

Business Name

LUIS TEODORO TEOPENGCO MD

Original Issue Date

10/08/1993

Effective Date

10/08/1993

Expiration Date

07/31/1996

City

CHICAGO

State

Zip

60625

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006