MARISA D DEL MUNDO GALICIA Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****17

License Status

ACTIVE

Business

First Name

MARISA

Middle

Last Name

DEL MUNDO GALICIA

Business Name

MARISA D DEL MUNDO GALICIA

Original Issue Date

04/04/2002

Effective Date

05/09/2023

Expiration Date

07/31/2026

City

LINCOLNWOOD

State

Zip

60712

County

COOK

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/09/2023