CARLA MARIEL FLORENCIO 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

CARLA

Middle

MARIEL

Last Name

FLORENCIO

Business Name

CARLA MARIEL FLORENCIO MD

Original Issue Date

08/11/2023

Effective Date

08/11/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60610

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/13/2023