PRUDENCIO C LUCERO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****79

License Status

NOT RENEWED

Business

First Name

PRUDENCIO C

Last Name

LUCERO

Suffix

Business Name

PRUDENCIO C LUCERO MD

Original Issue Date

07/26/1991

Effective Date

07/26/1991

Expiration Date

07/31/1993

City

BERWYN

State

Zip

60402

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006