EDILBERTO E NEPOMUCENO JR MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****87

License Status

ACTIVE

Business

Title

First Name

EDILBERTO

Middle

Last Name

NEPOMUCENO

Suffix

Business Name

EDILBERTO E NEPOMUCENO JR MD

Original Issue Date

09/12/1985

Effective Date

07/17/2023

Expiration Date

07/31/2026

City

FRANKFORT

State

Zip

60423

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/17/2023