PATRICK MICHAEL DIFFERDING 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

PATRICK

Middle

MICHAEL

Last Name

DIFFERDING

Business Name

PATRICK MICHAEL DIFFERDING MD

Original Issue Date

10/28/2021

Effective Date

05/26/2023

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

05/26/2023