JEAN ALYXA FEROLIN VENDIOLA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****67

License Status

ACTIVE

Business

Title

First Name

JEAN ALYXA

Middle

FEROLIN

Last Name

VENDIOLA

Business Name

JEAN ALYXA FEROLIN VENDIOLA MD

Original Issue Date

07/19/2022

Effective Date

04/22/2023

Expiration Date

07/31/2026

City

MAYWOOD

State

Zip

60153

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

04/22/2023