DONNA MARIE V ECONOMOS 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

First Name

DONNA MARIE

Middle

Last Name

ECONOMOS

Suffix

Business Name

DONNA MARIE V ECONOMOS MD

Original Issue Date

05/28/1998

Effective Date

07/10/2023

Expiration Date

07/31/2026

City

BARRINGTON

State

Zip

60010

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/10/2023