ALFREDA FALKOWSKA-GROSRENAUD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****02

License Status

ACTIVE

Business

First Name

ALFREDA

Last Name

FALKOWSKA-GROSRENAUD

Business Name

ALFREDA FALKOWSKA-GROSRENAUD

Original Issue Date

09/30/1996

Effective Date

07/28/2023

Expiration Date

07/31/2026

City

KENILWORTH

State

Zip

60043

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/28/2023