ADRIENNE EVANGELISTA GUTIERREZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****83

License Status

NOT RENEWED

Business

First Name

ADRIENNE

Middle

EVANGELISTA

Last Name

GUTIERREZ

Suffix

Business Name

ADRIENNE EVANGELISTA GUTIERREZ MD

Original Issue Date

11/18/2002

Effective Date

11/18/2002

Expiration Date

07/31/2008

City

EVANSTON

State

Zip

60202

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008