KELLEY NASH WACHSBERG MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****00

License Status

ACTIVE

Business

First Name

KELLEY

Middle

NASH

Last Name

WACHSBERG

Suffix

Business Name

KELLEY NASH WACHSBERG MD

Original Issue Date

05/11/2009

Effective Date

04/27/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60654

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/27/2023