DAVID ALLAN ESTACIO DO 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

DAVID

Middle

ALLAN

Last Name

ESTACIO

Suffix

Business Name

DAVID ALLAN ESTACIO DO

Original Issue Date

11/04/2005

Effective Date

05/16/2023

Expiration Date

07/31/2026

City

NAPERVILLE

State

Zip

60565

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/16/2023