FERNANDO VELAZQUEZ VAZQUEZ MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****57

License Status

ACTIVE

Business

Title

First Name

FERNANDO

Last Name

VELAZQUEZ VAZQUEZ

Business Name

FERNANDO VELAZQUEZ VAZQUEZ MD

Original Issue Date

11/15/2021

Effective Date

07/29/2023

Expiration Date

07/31/2026

City

WILMETTE

State

Zip

60091

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/29/2023