JOSE MARIA D MENDIETA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****64

License Status

NOT RENEWED

Business

First Name

JOSE MARIA D

Last Name

MENDIETA

Suffix

Business Name

JOSE MARIA D MENDIETA MD

Original Issue Date

01/07/1985

Effective Date

01/07/1985

Expiration Date

07/31/1987

City

CHICAGO

State

Zip

60616

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006