EDUARDO AENLLE MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****66

License Status

CANCELLED

Business

First Name

EDUARDO

Last Name

AENLLE

Suffix

Business Name

EDUARDO AENLLE MD

Original Issue Date

01/01/1997

Expiration Date

09/01/1982

City

WILLOWBROOK

State

Zip

60514

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006