MARY PATRICIA CAVANAUGH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****19

License Status

ACTIVE

Business

Title

First Name

MARY

Middle

PATRICIA

Last Name

CAVANAUGH

Business Name

MARY PATRICIA CAVANAUGH MD

Original Issue Date

03/12/2020

Effective Date

06/13/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60608

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/13/2023