ROBERTO TREVINO PENA 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

ROBERTO TREVINO

Last Name

PENA

Suffix

Business Name

ROBERTO TREVINO PENA MD

Original Issue Date

04/19/1982

Effective Date

04/19/1982

Expiration Date

07/31/1987

City

EVANSTON

State

Zip

60202

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006