MYRA FRANCISCO VICENIO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036117081

License Status

ACTIVE

Business

First Name

MYRA

Middle

FRANCISCO

Last Name

VICENIO

Suffix

Business Name

MYRA FRANCISCO VICENIO MD

Original Issue Date

10/23/2006

Effective Date

07/15/2023

Expiration Date

07/31/2026

City

BARTLETT

State

Zip

60103

County

COOK

Ever Disciplined

LastModifiedDate

07/15/2023