MARY M CHINN 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

MARY M

Last Name

CHINN

Suffix

Business Name

MARY M CHINN MD

Original Issue Date

07/10/1996

Effective Date

04/25/2023

Expiration Date

07/31/2026

City

MENDOTA

State

Zip

61342

County

LA SALLE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/25/2023