V GRACE M CARREON Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****18

License Status

ACTIVE

Business

First Name

V GRACE

Middle

Last Name

CARREON

Business Name

V GRACE M CARREON

Original Issue Date

01/11/2002

Effective Date

04/21/2023

Expiration Date

07/31/2026

City

PALOS PARK

State

Zip

60464

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/21/2023