JUAN AMBROSE INSUA 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

First Name

JUAN

Middle

AMBROSE

Last Name

INSUA

Suffix

Business Name

JUAN AMBROSE INSUA MD

Original Issue Date

05/15/2008

Effective Date

04/29/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60622

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/29/2023