HENRY C ECHIVERRI Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****84

License Status

NOT RENEWED

Business

First Name

HENRY C

Last Name

ECHIVERRI

Business Name

HENRY C ECHIVERRI

Original Issue Date

08/17/1990

Effective Date

08/17/1990

Expiration Date

07/31/2002

City

NAPERVILLE

State

Zip

60540

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020