ETHAN MACKENZIE SZPARA DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****17

License Status

ACTIVE

Business

Title

First Name

ETHAN

Middle

MACKENZIE

Last Name

SZPARA

Business Name

ETHAN MACKENZIE SZPARA DO

Original Issue Date

02/14/2022

Effective Date

06/27/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60607

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/27/2023