CORAZON C BUENVIAJE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****72

License Status

NOT RENEWED

Business

First Name

CORAZON C

Last Name

BUENVIAJE

Suffix

Business Name

CORAZON C BUENVIAJE MD

Original Issue Date

07/07/1995

Effective Date

08/01/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60660

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014