VENUS EUGENIO TANZO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****98

License Status

NOT RENEWED

Business

First Name

VENUS

Middle

EUGENIO

Last Name

TANZO

Suffix

Business Name

VENUS EUGENIO TANZO MD

Original Issue Date

09/20/2000

Effective Date

09/20/2000

Expiration Date

07/31/2002

City

RIVER FOREST

State

Zip

60305

County

COOK

Controlled Substance Schedule

III

Ever Disciplined

LastModifiedDate

10/09/2006