LUIS S MEDINA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****95

License Status

NOT RENEWED

Business

First Name

LUIS S

Last Name

MEDINA

Suffix

Business Name

LUIS S MEDINA MD

Original Issue Date

01/25/1993

Effective Date

01/25/1993

Expiration Date

07/31/1993

City

GLENVIEW

State

Zip

60025

County

COOK

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

10/09/2006