LAURA ELENA CISNEROS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****42

License Status

NOT RENEWED

Business

First Name

LAURA

Middle

ELENA

Last Name

CISNEROS

Suffix

Business Name

LAURA ELENA CISNEROS MD

Original Issue Date

03/13/1998

Effective Date

10/01/2020

Expiration Date

07/31/2023

City

ELMHURST

State

Zip

60126

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023