VICTOR MANUEL MEDINA DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****35

License Status

ACTIVE

Business

Title

First Name

VICTOR

Middle

MANUEL

Last Name

MEDINA

Business Name

VICTOR MANUEL MEDINA DO

Original Issue Date

03/25/2020

Effective Date

04/08/2023

Expiration Date

07/31/2026

City

VILLAGE OF LAKEWOOD

State

Zip

60014

County

MCHENRY

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/08/2023