IVAN H VAZQUEZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****92

License Status

NOT RENEWED

Business

First Name

IVAN H

Last Name

VAZQUEZ

Suffix

Business Name

IVAN H VAZQUEZ MD

Original Issue Date

01/01/1997

Effective Date

07/17/2008

Expiration Date

07/31/2011

City

SCHAUMBURG

State

Zip

60194

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011