EDGAR F SALAZAR GRUESO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****68

License Status

NOT RENEWED

Business

First Name

EDGAR F

Last Name

SALAZAR GRUESO

Suffix

Business Name

EDGAR F SALAZAR GRUESO MD

Original Issue Date

08/22/1983

Effective Date

08/22/1983

Expiration Date

07/31/1999

City

CHICAGO

State

Zip

60637

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006