MYRA FRANCISCO VICENIO MD 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

MYRA

Middle

FRANCISCO

Last Name

VICENIO

Suffix

Business Name

MYRA FRANCISCO VICENIO MD

Original Issue Date

03/07/2007

Effective Date

07/15/2023

Expiration Date

07/31/2026

City

HOFFMAN ESTATES

State

Zip

60169

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/15/2023