PABLO TREVINO DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****70

License Status

NOT RENEWED

Business

First Name

PABLO

Last Name

TREVINO

Suffix

DPM

Business Name

PABLO TREVINO DPM

Original Issue Date

10/10/2007

Effective Date

10/10/2007

Expiration Date

01/31/2009

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

HOSPITAL/CLINIC

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/17/2009