MARY DEHERRERA CODO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****50

License Status

ACTIVE

Business

First Name

MARY

Last Name

DEHERRERA CODO

Suffix

Business Name

MARY DEHERRERA CODO MD

Original Issue Date

09/22/1992

Effective Date

06/01/2023

Expiration Date

07/31/2026

City

NAPERVILLE

State

Zip

60563

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/01/2023