PRISCILLA ANN SARMIENTO-GUPANA 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

First Name

PRISCILLA

Middle

ANN

Last Name

SARMIENTO-GUPANA

Suffix

Business Name

PRISCILLA ANN SARMIENTO-GUPANA DO

Original Issue Date

05/25/2011

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

AURORA

State

Zip

60506

County

KANE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/06/2023