JOHN ELIAS SIFUENTES MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****43

License Status

ACTIVE

Business

First Name

JOHN

Middle

ELIAS

Last Name

SIFUENTES

Suffix

Business Name

JOHN ELIAS SIFUENTES MD

Original Issue Date

07/02/2004

Effective Date

05/11/2023

Expiration Date

07/31/2026

City

JACKSONVILLE

State

Zip

62650

County

KANKAKEE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/11/2023