ANDRES F MAFLA GRISALES MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****69

License Status

ACTIVE

Business

Title

First Name

ANDRES

Middle

Last Name

MAFLA GRISALES

Business Name

ANDRES F MAFLA GRISALES MD

Original Issue Date

09/07/2006

Effective Date

05/20/2023

Expiration Date

07/31/2026

City

CICERO

State

Zip

60804

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/20/2023