ADRIANA CARMENZA BERMEO OVALLE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****64

License Status

ACTIVE

Business

Title

First Name

ADRIANA

Middle

CARMENZA

Last Name

BERMEO OVALLE

Business Name

ADRIANA CARMENZA BERMEO OVALLE MD

Original Issue Date

05/19/2011

Effective Date

04/27/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/27/2023