REBECCA GRACE MADDRELL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****20

License Status

ACTIVE

Business

Title

First Name

REBECCA

Middle

GRACE

Last Name

MADDRELL

Business Name

REBECCA GRACE MADDRELL MD

Original Issue Date

01/17/2019

Effective Date

07/13/2023

Expiration Date

07/31/2026

City

RIVER FOREST

State

Zip

60305

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/13/2023