RANDALL S YESSENOW 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

First Name

RANDALL S

Last Name

YESSENOW

Suffix

Business Name

RANDALL S YESSENOW MD

Original Issue Date

08/05/1993

Effective Date

07/05/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/05/2023