MARIO S ESCALANTE Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****61

License Status

NOT RENEWED

Business

First Name

MARIO S

Last Name

ESCALANTE

Business Name

MARIO S ESCALANTE

Original Issue Date

09/11/1995

Effective Date

09/11/1995

Expiration Date

07/31/1999

City

FLOSSMOOR

State

Zip

60422

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006