VICENTE GUIAB SAPON MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****84

License Status

CANCELLED

Business

First Name

VICENTE GUIAB

Last Name

SAPON

Suffix

Business Name

VICENTE GUIAB SAPON MD

Original Issue Date

07/22/1986

Effective Date

07/22/1986

Expiration Date

07/31/2005

City

DOLTON

State

Zip

60419

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006