MARCOS ESQUENAZI MODIANO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****77

License Status

ACTIVE

Business

Title

First Name

MARCOS

Middle

ESQUENAZI

Last Name

MODIANO

Business Name

MARCOS ESQUENAZI MODIANO MD

Original Issue Date

04/17/2013

Effective Date

06/09/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/09/2023