CARMEN PATRICIA MACIAS HUERTA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****05

License Status

ACTIVE

Business

First Name

CARMEN

Middle

PATRICIA

Last Name

MACIAS HUERTA

Suffix

Business Name

CARMEN PATRICIA MACIAS HUERTA MD

Original Issue Date

05/02/1995

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60148

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2023