DAVIDA NAOMI GERENA 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

DAVIDA

Middle

NAOMI

Last Name

GERENA

Business Name

DAVIDA NAOMI GERENA MD

Original Issue Date

03/03/2011

Effective Date

07/01/2023

Expiration Date

07/31/2026

City

DES PLAINES

State

Zip

60016

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/01/2023