JOHN E NEPOMUCENO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****77

License Status

NOT RENEWED

Business

First Name

JOHN E

Last Name

NEPOMUCENO

Business Name

JOHN E NEPOMUCENO

Original Issue Date

10/19/1995

Effective Date

10/19/1995

Expiration Date

07/31/2005

City

BOURBONNAIS

State

Zip

60914

County

KANKAKEE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006