SYLVANIA INES S TRINIDAD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****75

License Status

CANCELLED

Business

First Name

SYLVANIA INES S

Last Name

TRINIDAD

Business Name

SYLVANIA INES S TRINIDAD

Original Issue Date

03/12/1997

Effective Date

03/12/1997

Expiration Date

07/31/1999

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006