GABRIEL ALEXIS ESTREMERA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****97

License Status

NOT RENEWED

Business

First Name

GABRIEL

Middle

ALEXIS

Last Name

ESTREMERA

Suffix

Business Name

GABRIEL ALEXIS ESTREMERA MD

Original Issue Date

05/10/2018

Effective Date

05/10/2018

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021