JOSE CARLOS HUMANEZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****76

License Status

NOT RENEWED

Business

First Name

JOSE

Middle

CARLOS

Last Name

HUMANEZ

Suffix

Business Name

JOSE CARLOS HUMANEZ MD

Original Issue Date

07/26/2013

Effective Date

07/26/2013

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60615

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014