TRAVIS MICHAEL CHURILLA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****31

License Status

ACTIVE

Business

Title

First Name

TRAVIS

Middle

MICHAEL

Last Name

CHURILLA

Business Name

TRAVIS MICHAEL CHURILLA MD

Original Issue Date

04/09/2024

Effective Date

04/09/2024

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/24/2026