JUAN I CARDENAL MD 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

JUAN I

Last Name

CARDENAL

Suffix

Business Name

JUAN I CARDENAL MD

Original Issue Date

08/15/1985

Effective Date

08/15/1985

Expiration Date

07/31/1987

City

CHICAGO

State

Zip

60657

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006