EDILBERTO E NEPOMUCENO JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****88

License Status

NOT RENEWED

Business

Title

First Name

EDILBERTO

Middle

Last Name

NEPOMUCENO

Suffix

Business Name

EDILBERTO E NEPOMUCENO JR MD

Original Issue Date

07/31/1990

Effective Date

07/31/1990

Expiration Date

07/31/1993

City

MOKENA

State

Zip

60448

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020