CARMEN OLIVERAS CRESPO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****74

License Status

NOT RENEWED

Business

First Name

CARMEN

Last Name

OLIVERAS CRESPO

Business Name

CARMEN OLIVERAS CRESPO

Original Issue Date

01/17/1996

Effective Date

01/17/1996

Expiration Date

07/31/1999

City

CHICAGO

State

Zip

60624

County

COOK

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

09/26/2006