MEGHANE ELIANE YVETTE MASQUELIN DO 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

MEGHANE

Middle

ELIANE YVETTE

Last Name

MASQUELIN

Business Name

MEGHANE ELIANE YVETTE MASQUELIN DO

Original Issue Date

08/15/2022

Effective Date

07/14/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60631

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/14/2023