MAELEN MUNOZ PANTANO 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

MAELEN MUNOZ

Last Name

PANTANO

Suffix

Business Name

MAELEN MUNOZ PANTANO MD

Original Issue Date

01/04/1995

Effective Date

01/04/1995

Expiration Date

07/31/1999

City

WOOD DALE

State

Zip

60191

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020