EZEQUIEL MENDEZ HUERTA Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****74

License Status

ACTIVE

Business

First Name

EZEQUIEL

Last Name

MENDEZ HUERTA

Business Name

EZEQUIEL MENDEZ HUERTA

Original Issue Date

08/16/1994

Effective Date

06/16/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60632

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/16/2023