ANNAIS ANTOINETTE SANTIAGO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****30

License Status

ACTIVE

Business

Title

First Name

ANNAIS

Middle

ANTOINETTE

Last Name

SANTIAGO

Business Name

ANNAIS ANTOINETTE SANTIAGO MD

Original Issue Date

05/27/2020

Effective Date

06/03/2023

Expiration Date

07/31/2026

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/03/2023