NORBERTO T AGUSTIN MD 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

NORBERTO T

Last Name

AGUSTIN

Suffix

Business Name

NORBERTO T AGUSTIN MD

Original Issue Date

10/23/1981

Effective Date

10/23/1981

Expiration Date

07/31/1987

City

WILMETTE

State

Zip

60091

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/24/2007

Case Number

1984000658

Action

Revocation

Discipline Start Date

05/21/1987