PAMELA S GANSCHOW MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****01

License Status

ACTIVE

Business

First Name

PAMELA

Middle

Last Name

GANSCHOW

Suffix

Business Name

PAMELA S GANSCHOW MD

Original Issue Date

07/31/1998

Effective Date

07/08/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/08/2023