ELEANOR INGRID BUCHOLZ MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036150600

License Status

ACTIVE

Business

Title

First Name

ELEANOR

Middle

INGRID

Last Name

BUCHOLZ

Business Name

ELEANOR INGRID BUCHOLZ MD

Original Issue Date

08/26/2019

Effective Date

04/30/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60622

Ever Disciplined

LastModifiedDate

04/30/2023