MICHAEL M SOBERANO 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

First Name

MICHAEL M

Last Name

SOBERANO

Suffix

Business Name

MICHAEL M SOBERANO MD

Original Issue Date

04/01/1996

Effective Date

04/01/1996

Expiration Date

07/31/1999

City

OAK LAWN

State

Zip

60453

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006