LAURA VILLAVICENCIO BRIZ MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****23

License Status

ACTIVE

Business

Title

First Name

LAURA

Middle

VILLAVICENCIO

Last Name

BRIZ

Business Name

LAURA VILLAVICENCIO BRIZ MD

Original Issue Date

06/17/2020

Effective Date

05/04/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/04/2023