GEORGE M PROCENTO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****12

License Status

ACTIVE

Business

First Name

GEORGE M

Last Name

PROCENTO

Suffix

Business Name

GEORGE M PROCENTO MD

Original Issue Date

06/22/1990

Effective Date

06/30/2023

Expiration Date

07/31/2026

City

MUNDELEIN

State

Zip

60060

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/30/2023