BLANCA EDITH IRIARTE OPORTO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****48

License Status

ACTIVE

Business

Title

First Name

BLANCA

Middle

EDITH

Last Name

IRIARTE OPORTO

Business Name

BLANCA EDITH IRIARTE OPORTO MD

Original Issue Date

03/13/2019

Effective Date

05/13/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60608

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/13/2023