SANTIAGO A CANDOCIA Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****81

License Status

ACTIVE

Business

First Name

SANTIAGO A

Last Name

CANDOCIA

Business Name

SANTIAGO A CANDOCIA

Original Issue Date

03/12/1989

Effective Date

07/22/2023

Expiration Date

07/31/2026

City

WINNETKA

State

Zip

60093

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/22/2023