VICTOR RAFAEL PLASENCIA 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

First Name

VICTOR

Middle

RAFAEL

Last Name

PLASENCIA

Suffix

Business Name

VICTOR RAFAEL PLASENCIA MD

Original Issue Date

01/12/2005

Effective Date

07/22/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60639

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/22/2023