JOSE ANTONIO MARI ACEVEDO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****18

License Status

ACTIVE

Business

Title

First Name

JOSE

Middle

ANTONIO

Last Name

MARI ACEVEDO

Business Name

JOSE ANTONIO MARI ACEVEDO MD

Original Issue Date

09/26/2022

Effective Date

05/25/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62769

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/25/2023