ANDRES BOTUYAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****90

License Status

NOT RENEWED

Business

First Name

ANDRES

Last Name

BOTUYAN

Suffix

Business Name

ANDRES BOTUYAN MD

Original Issue Date

07/03/1985

Effective Date

07/03/1985

Expiration Date

07/31/1987

City

CHICAGO

State

Zip

60639

County

COOK

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

04/11/2017