CARA E VASCONCELLES MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****60

License Status

ACTIVE

Business

First Name

CARA E

Last Name

VASCONCELLES

Suffix

Business Name

CARA E VASCONCELLES MD

Original Issue Date

06/22/1994

Effective Date

06/13/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/13/2023