CONCETTA C MENNELLA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****86

License Status

ACTIVE

Business

First Name

CONCETTA C

Last Name

MENNELLA

Suffix

Business Name

CONCETTA C MENNELLA MD

Original Issue Date

02/24/1992

Effective Date

08/29/2024

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60608

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023