FIDEL ERNESTO CASTILLO DIAZ MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****13

License Status

ACTIVE

Business

Title

First Name

FIDEL

Middle

ERNESTO

Last Name

CASTILLO DIAZ

Business Name

FIDEL ERNESTO CASTILLO DIAZ MD

Original Issue Date

08/10/2009

Effective Date

06/02/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60618

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/02/2023