JUSTIN MICHAEL DAGRACA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****65

License Status

ACTIVE

Business

Title

First Name

JUSTIN

Middle

MICHAEL

Last Name

DAGRACA

Business Name

JUSTIN MICHAEL DAGRACA MD

Original Issue Date

06/19/2012

Effective Date

04/11/2023

Expiration Date

07/31/2026

City

WARRENVILLE

State

Zip

60555

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/11/2023