EVILLO MANUEL DOMINGO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****80

License Status

ACTIVE

Business

Title

First Name

EVILLO

Middle

MANUEL

Last Name

DOMINGO

Business Name

EVILLO MANUEL DOMINGO MD

Original Issue Date

02/25/2014

Effective Date

06/14/2023

Expiration Date

07/31/2026

City

HUNTLEY

State

Zip

60142

County

MCHENRY

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/14/2023