JULISSA PLACENCIO 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

Title

First Name

JULISSA

Last Name

PLACENCIO

Business Name

JULISSA PLACENCIO MD

Original Issue Date

07/15/2022

Effective Date

05/25/2023

Expiration Date

07/31/2026

City

OAK PARK

State

Zip

60302

County

ADAMS

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/25/2023