DANIEL MONTALVO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****95

License Status

ACTIVE

Business

First Name

DANIEL

Last Name

MONTALVO

Suffix

Business Name

DANIEL MONTALVO MD

Original Issue Date

08/22/1990

Effective Date

07/25/2023

Expiration Date

07/31/2026

City

SOUTH HOLLAND

State

Zip

60473

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/25/2023