IVAN JOSE CUESTA ISABEL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****74

License Status

ACTIVE

Business

Title

First Name

IVAN

Middle

JOSE

Last Name

CUESTA ISABEL

Business Name

IVAN JOSE CUESTA ISABEL MD

Original Issue Date

04/27/2021

Effective Date

05/17/2023

Expiration Date

07/31/2026

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/17/2023