CATHY A DIVINCENZO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****49

License Status

ACTIVE

Business

First Name

CATHY

Middle

Last Name

DIVINCENZO

Suffix

Business Name

CATHY A DIVINCENZO MD

Original Issue Date

11/17/1998

Effective Date

04/15/2023

Expiration Date

07/31/2026

City

SKOKIE

State

Zip

60076

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/15/2023