MARY ALEXANDRA EGUIA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****25

License Status

NOT RENEWED

Business

Title

First Name

MARY

Middle

ALEXANDRA

Last Name

EGUIA

Business Name

MARY ALEXANDRA EGUIA MD

Original Issue Date

07/11/2018

Effective Date

08/31/2020

Expiration Date

07/31/2023

City

OAK PARK

State

Zip

60302

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023