ANDREW MARCOS I ALTIVEROS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****45

License Status

ACTIVE

Business

Title

First Name

ANDREW MARCOS

Middle

Last Name

ALTIVEROS

Business Name

ANDREW MARCOS I ALTIVEROS MD

Original Issue Date

02/28/2011

Effective Date

05/13/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/13/2023