MARVIN ANTONIO PORFIRIO S DUQUE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****11

License Status

ACTIVE

Business

First Name

MARVIN ANTONIO

Middle

PORFIRIO S

Last Name

DUQUE

Suffix

Business Name

MARVIN ANTONIO PORFIRIO S DUQUE MD

Original Issue Date

09/19/2008

Effective Date

07/27/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60603

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/27/2023