CORAZON C BUENVIAJE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****71

License Status

NOT RENEWED

Business

First Name

CORAZON C

Last Name

BUENVIAJE

Suffix

Business Name

CORAZON C BUENVIAJE MD

Original Issue Date

06/30/1981

Effective Date

06/30/1981

Expiration Date

07/31/1996

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011