WALTER R PLASENCIA 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

WALTER R

Last Name

PLASENCIA

Business Name

WALTER R PLASENCIA

Original Issue Date

10/16/1995

Effective Date

07/27/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60639

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/27/2023