MARYROSE PATRICIA BAUSCHKA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****28

License Status

ACTIVE

Business

Title

First Name

MARYROSE

Middle

PATRICIA

Last Name

BAUSCHKA

Business Name

MARYROSE PATRICIA BAUSCHKA MD

Original Issue Date

07/03/2019

Effective Date

04/17/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/05/2023