MARILENA CERASELA ORAVITAN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****79

License Status

CANCELLED

Business

First Name

MARILENA

Middle

CERASELA

Last Name

ORAVITAN

Suffix

Business Name

MARILENA CERASELA ORAVITAN MD

Original Issue Date

07/19/2002

Effective Date

07/19/2002

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60615

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006