IAN B MAGRUDER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****33

License Status

ACTIVE

Business

Title

First Name

IAN

Middle

Last Name

MAGRUDER

Business Name

IAN B MAGRUDER MD

Original Issue Date

08/18/2022

Effective Date

06/27/2023

Expiration Date

07/31/2026

City

WILMETTE

State

Zip

60091

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/27/2023