MELISSA ANN SIFUENTES MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****21

License Status

ACTIVE

Business

Title

First Name

MELISSA

Middle

ANN

Last Name

SIFUENTES

Business Name

MELISSA ANN SIFUENTES MD

Original Issue Date

02/07/2019

Effective Date

05/24/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60643

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/24/2023