SUSAN CONCEPCION ECHIVERRI Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****54

License Status

ACTIVE

Business

First Name

SUSAN CONCEPCION

Last Name

ECHIVERRI

Business Name

SUSAN CONCEPCION ECHIVERRI

Original Issue Date

02/18/1987

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

WARRENVILLE

State

Zip

60555

County

COOK

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

04/07/2023