EDEN LOUISE PAPPO LAKE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****26

License Status

ACTIVE

Business

Title

First Name

EDEN

Middle

LOUISE PAPPO

Last Name

LAKE

Business Name

EDEN LOUISE PAPPO LAKE MD

Original Issue Date

06/09/2017

Effective Date

04/18/2023

Expiration Date

07/31/2026

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/18/2023