ANGEL M SAN JOSE Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****90

License Status

CANCELLED

Business

First Name

ANGEL M

Last Name

SAN JOSE

Business Name

ANGEL M SAN JOSE

Original Issue Date

11/04/1985

Effective Date

11/04/1985

Expiration Date

07/31/2005

City

HOMEWOOD

State

Zip

60430

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006