JOSEPH A QUINTANA JR 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

JOSEPH

Middle

Last Name

QUINTANA

Suffix

JR MD

Business Name

JOSEPH A QUINTANA JR MD

Original Issue Date

06/11/1987

Effective Date

06/11/1987

Expiration Date

07/31/1990

City

FOREST PARK

State

Zip

60130

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006