ALFONSO MEJIA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****62

License Status

ACTIVE

Business

First Name

ALFONSO

Last Name

MEJIA

Suffix

Business Name

ALFONSO MEJIA MD

Original Issue Date

11/12/1996

Effective Date

07/01/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/01/2023