SYLVIA D TREVINO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****80

License Status

NOT RENEWED

Business

Title

First Name

SYLVIA

Middle

Last Name

TREVINO

Business Name

SYLVIA D TREVINO MD

Original Issue Date

04/01/2014

Effective Date

04/01/2014

Expiration Date

07/31/2017

City

PIASA

State

Zip

62079

County

MACOUPIN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017