VLADISLAV ISAAK GORENGAUT MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****35

License Status

ACTIVE

Business

First Name

VLADISLAV

Middle

ISAAK

Last Name

GORENGAUT

Suffix

Business Name

VLADISLAV ISAAK GORENGAUT MD

Original Issue Date

05/31/2005

Effective Date

04/25/2023

Expiration Date

07/31/2026

City

HINSDALE

State

Zip

60521

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/25/2023