MARIA LOUISE COLAVINCENZO 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

MARIA

Middle

LOUISE

Last Name

COLAVINCENZO

Suffix

Business Name

MARIA LOUISE COLAVINCENZO MD

Original Issue Date

04/09/2009

Effective Date

05/17/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/17/2023