WYNETTA DANIELLE HARRIS-CASTILLO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****99

License Status

ACTIVE

Business

Title

First Name

WYNETTA

Middle

DANIELLE

Last Name

HARRIS-CASTILLO

Business Name

WYNETTA DANIELLE HARRIS-CASTILLO MD

Original Issue Date

12/22/2015

Effective Date

04/04/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60622

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/20/2023