AMBER NICOLE AVILA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****28

License Status

ACTIVE

Business

Title

First Name

AMBER

Middle

NICOLE

Last Name

AVILA

Business Name

AMBER NICOLE AVILA MD

Original Issue Date

05/21/2013

Effective Date

04/10/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61636

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/10/2023