MARK PHILLIPE OQUIST CARDENAS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****27

License Status

ACTIVE

Business

Title

First Name

MARK

Middle

PHILLIPE

Last Name

OQUIST CARDENAS

Business Name

MARK PHILLIPE OQUIST CARDENAS MD

Original Issue Date

04/22/2020

Effective Date

07/21/2023

Expiration Date

07/31/2026

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/21/2023