ADRIENNE MARTHA BALSAM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****34

License Status

ACTIVE

Business

First Name

ADRIENNE

Middle

MARTHA

Last Name

BALSAM

Suffix

Business Name

ADRIENNE MARTHA BALSAM MD

Original Issue Date

07/15/1998

Effective Date

04/08/2023

Expiration Date

07/31/2026

City

SKOKIE

State

Zip

60076

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/08/2023