TANIA MARIA DEL MAR CAMPAGNOLI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****16

License Status

ACTIVE

Business

Title

First Name

TANIA

Middle

MARIA DEL MAR

Last Name

CAMPAGNOLI

Business Name

TANIA MARIA DEL MAR CAMPAGNOLI MD

Original Issue Date

12/02/2015

Effective Date

04/28/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60614

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/28/2023