JAVIER VIDAL GONZALEZ COTTO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****33

License Status

ACTIVE

Business

Title

First Name

JAVIER

Middle

VIDAL

Last Name

GONZALEZ COTTO

Business Name

JAVIER VIDAL GONZALEZ COTTO MD

Original Issue Date

07/27/2016

Effective Date

06/19/2023

Expiration Date

07/31/2026

City

LAKE FOREST

State

Zip

60045

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/19/2023