SCOTT BRADFORD CIENKUS 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

SCOTT BRADFORD

Last Name

CIENKUS

Suffix

Business Name

SCOTT BRADFORD CIENKUS MD

Original Issue Date

03/21/1996

Effective Date

05/14/2023

Expiration Date

07/31/2026

City

NORTHBROOK

State

Zip

60062

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/30/2023