EDWARD ALEXIS CABALLERO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****46

License Status

ACTIVE

Business

Title

First Name

EDWARD

Middle

ALEXIS

Last Name

CABALLERO

Business Name

EDWARD ALEXIS CABALLERO MD

Original Issue Date

03/18/2019

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

DANVILLE

State

Zip

61832

County

VERMILION

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/06/2023