ELIZABETH RENEE VAN OPSTAL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****04

License Status

ACTIVE

Business

First Name

ELIZABETH

Middle

RENEE

Last Name

VAN OPSTAL

Suffix

Business Name

ELIZABETH RENEE VAN OPSTAL MD

Original Issue Date

03/28/2012

Effective Date

05/27/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60608

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/27/2023