JOAQUIN C BRIEVA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****69

License Status

NOT RENEWED

Business

First Name

JOAQUIN

Middle

Last Name

BRIEVA

Suffix

Business Name

JOAQUIN C BRIEVA MD

Original Issue Date

06/09/1993

Effective Date

04/21/2014

Expiration Date

07/31/2017

City

NORTHBROOK

State

Zip

60062

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020