FERNANDO ANIBAL AMPUERO MEDINA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****22

License Status

ACTIVE

Business

First Name

FERNANDO ANIBAL

Last Name

AMPUERO MEDINA

Suffix

Business Name

FERNANDO ANIBAL AMPUERO MEDINA MD

Original Issue Date

05/03/1983

Effective Date

07/12/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60623

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/12/2023