ERIC MENZNER DORN MD Medical Doctor License verification

Business Entity

INOPERATIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****14

License Status

INOPERATIVE

Business

Title

First Name

ERIC

Middle

MENZNER

Last Name

DORN

Business Name

ERIC MENZNER DORN MD

Original Issue Date

05/24/2023

Effective Date

05/24/2023

Expiration Date

07/31/2026

City

EVANSTON

State

Zip

60202

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/24/2023