MARCUS R CHACON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****25

License Status

ACTIVE

Business

First Name

MARCUS

Middle

Last Name

CHACON

Suffix

Business Name

MARCUS R CHACON MD

Original Issue Date

02/23/2011

Effective Date

05/20/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61104

County

WISCONSIN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

05/20/2023