MARCOS ESQUENAZI MODIANO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036130219

License Status

ACTIVE

Business

Title

First Name

MARCOS

Middle

ESQUENAZI

Last Name

MODIANO

Business Name

MARCOS ESQUENAZI MODIANO MD

Original Issue Date

04/26/2012

Effective Date

06/09/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60642

County

COOK

Ever Disciplined

LastModifiedDate

06/09/2023

Case Number

2016006215

Action

Fine

Discipline Start Date

07/03/2017

Discipline Reason

for disclosing patient information without authorization.