STEPHANIE MARIE VECINO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****29

License Status

NOT RENEWED

Business

Title

First Name

STEPHANIE

Middle

MARIE

Last Name

VECINO

Business Name

STEPHANIE MARIE VECINO MD

Original Issue Date

01/16/2015

Effective Date

01/16/2015

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017