NITA MARY PADAVIL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****51

License Status

ACTIVE

Business

Title

First Name

NITA

Middle

MARY

Last Name

PADAVIL

Business Name

NITA MARY PADAVIL MD

Original Issue Date

11/29/2018

Effective Date

06/16/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60602

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/16/2023