JUAN M CAMPBELL Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****93

License Status

ACTIVE

Business

First Name

JUAN

Middle

Last Name

CAMPBELL

Business Name

JUAN M CAMPBELL

Original Issue Date

03/15/2004

Effective Date

05/16/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60629

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/20/2023