MAURICIO A CONSALTER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****53

License Status

ACTIVE

Business

First Name

MAURICIO

Middle

Last Name

CONSALTER

Suffix

Business Name

MAURICIO A CONSALTER MD

Original Issue Date

08/27/2022

Effective Date

07/26/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60647

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/26/2023