MARTHA MENCHACA Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****77

License Status

ACTIVE

Business

First Name

MARTHA

Last Name

MENCHACA

Business Name

MARTHA MENCHACA

Original Issue Date

02/09/2012

Effective Date

05/13/2023

Expiration Date

07/31/2026

City

BROOKFIELD

State

Zip

60513

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/13/2023