GABRIEL ANZUETO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****91

License Status

NOT RENEWED

Business

First Name

GABRIEL

Last Name

ANZUETO

Suffix

Business Name

GABRIEL ANZUETO MD

Original Issue Date

03/30/2018

Effective Date

03/30/2018

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60637

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021