IGNACIO JUAN KELLER SARMIENTO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****04

License Status

ACTIVE

Business

Title

First Name

IGNACIO

Middle

JUAN

Last Name

KELLER SARMIENTO

Business Name

IGNACIO JUAN KELLER SARMIENTO MD

Original Issue Date

01/26/2024

Effective Date

01/26/2024

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

IV V

Ever Disciplined

LastModifiedDate

02/24/2026