GLEN GENEROSO ADUANA Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****30

License Status

ACTIVE

Business

First Name

GLEN

Middle

GENEROSO

Last Name

ADUANA

Business Name

GLEN GENEROSO ADUANA

Original Issue Date

04/23/2009

Effective Date

08/16/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60638

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/16/2023