NICASIA S PEREZ 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

NICASIA S

Last Name

PEREZ

Suffix

Business Name

NICASIA S PEREZ MD

Original Issue Date

08/07/1990

Effective Date

08/07/1990

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60634

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011