GUSTAVO ADOLFO JURADO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****73

License Status

NOT RENEWED

Business

First Name

GUSTAVO

Middle

ADOLFO

Last Name

JURADO

Suffix

Business Name

GUSTAVO ADOLFO JURADO MD

Original Issue Date

12/15/2005

Effective Date

12/15/2005

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008