JESUS RENE DADIVAS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****88

License Status

ACTIVE

Business

Title

First Name

JESUS

Middle

RENE

Last Name

DADIVAS

Business Name

JESUS RENE DADIVAS MD

Original Issue Date

06/14/2012

Effective Date

06/04/2023

Expiration Date

07/31/2026

City

NILES

State

Zip

60714

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/04/2023