JUSTIN MATTHEW OLIVAS MD Medical Doctor License verification

Business Entity

INOPERATIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****53

License Status

INOPERATIVE

Business

Title

First Name

JUSTIN

Middle

MATTHEW

Last Name

OLIVAS

Business Name

JUSTIN MATTHEW OLIVAS MD

Original Issue Date

04/21/2023

Effective Date

04/21/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/21/2023