JOSEPH M CIVANTOS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****15

License Status

ACTIVE

Business

First Name

JOSEPH M

Last Name

CIVANTOS

Suffix

Business Name

JOSEPH M CIVANTOS MD

Original Issue Date

06/09/1993

Effective Date

04/26/2023

Expiration Date

07/31/2026

City

HARVEY

State

Zip

60426

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/26/2023