NICASIA S PEREZ 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

NICASIA S

Last Name

PEREZ

Suffix

Business Name

NICASIA S PEREZ MD

Original Issue Date

10/20/1981

Effective Date

07/25/2011

Expiration Date

07/31/2014

City

DARIEN

State

Zip

60561

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014