VLADISLAV ISAAK GORENGAUT MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036113511

License Status

ACTIVE

Business

First Name

VLADISLAV

Middle

ISAAK

Last Name

GORENGAUT

Suffix

Business Name

VLADISLAV ISAAK GORENGAUT MD

Original Issue Date

04/20/2005

Effective Date

04/25/2023

Expiration Date

07/31/2026

City

NORTHFIRLD

State

Zip

60093

County

COOK

Ever Disciplined

LastModifiedDate

04/25/2023