MARIELIA GERENA 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

Title

First Name

MARIELIA

Last Name

GERENA

Business Name

MARIELIA GERENA MD

Original Issue Date

03/12/2015

Effective Date

05/20/2023

Expiration Date

07/31/2026

City

MAYWOOD

State

Zip

60534

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/20/2023