IVANA LINA ASENCIO MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125077970

License Status

CANCELLED

Business

Title

First Name

IVANA

Middle

LINA

Last Name

ASENCIO

Business Name

IVANA LINA ASENCIO MD

Original Issue Date

06/25/2024

Effective Date

06/25/2024

Expiration Date

06/24/2025

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Obstetrics and Gynecology

Ever Disciplined

LastModifiedDate

09/05/2025