MYRIAM Z BERMUDEZ ALLENDE 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

Title

First Name

MYRIAM

Middle

Last Name

BERMUDEZ ALLENDE

Business Name

MYRIAM Z BERMUDEZ ALLENDE MD

Original Issue Date

04/27/2012

Effective Date

06/18/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020