SCOTT W DIVENERE 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

First Name

SCOTT

Middle

Last Name

DIVENERE

Suffix

Business Name

SCOTT W DIVENERE MD

Original Issue Date

05/23/2000

Effective Date

06/23/2023

Expiration Date

07/31/2026

City

JOLIET

State

Zip

60435

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/23/2023