ALEXANDER STUKALOV MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****06

License Status

ACTIVE

Business

Title

First Name

ALEXANDER

Last Name

STUKALOV

Business Name

ALEXANDER STUKALOV MD

Original Issue Date

08/28/2003

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60610

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/06/2025

Case Number

2023009052

Action

Suspension

Discipline Start Date

01/08/2025

Discipline End Date

02/04/2025

Discipline Reason

controlled substance license automatically suspended for failure to schedule examination within 30 days after service of Order to Compel.