VALERIE VISITACION MAYUGA 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

VALERIE

Middle

VISITACION

Last Name

MAYUGA

Business Name

VALERIE VISITACION MAYUGA MD

Original Issue Date

05/15/2018

Effective Date

06/09/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60622

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/09/2023