OTTO R GARCIA MONTENEGRO 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

Title

First Name

OTTO

Middle

Last Name

GARCIA MONTENEGRO

Business Name

OTTO R GARCIA MONTENEGRO MD

Original Issue Date

08/26/1998

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60639

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2023