MARK L MONTEFERRANTE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****00

License Status

ACTIVE

Business

Title

First Name

MARK

Middle

Last Name

MONTEFERRANTE

Business Name

MARK L MONTEFERRANTE MD

Original Issue Date

01/30/2015

Effective Date

04/25/2023

Expiration Date

07/31/2026

City

CRYSTAL LAKE

State

Zip

60014

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/25/2023