XIOMARA M MORILLO AZCUY Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****87

License Status

NOT RENEWED

Business

First Name

XIOMARA M

Last Name

MORILLO AZCUY

Business Name

XIOMARA M MORILLO AZCUY

Original Issue Date

10/21/1993

Effective Date

10/21/1993

Expiration Date

07/31/1999

City

BLUE ISLAND

State

Zip

60406

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006