HENRY C ECHIVERRI Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****83

License Status

ACTIVE

Business

First Name

HENRY C

Last Name

ECHIVERRI

Business Name

HENRY C ECHIVERRI

Original Issue Date

06/30/1988

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

WARRENVILLE

State

Zip

60555

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2023