ELEANOR INGRID BUCHOLZ MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****29

License Status

ACTIVE

Business

Title

First Name

ELEANOR

Middle

INGRID

Last Name

BUCHOLZ

Business Name

ELEANOR INGRID BUCHOLZ MD

Original Issue Date

08/26/2019

Effective Date

04/30/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60622

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/30/2023