YASMIN C GOSIENGFIAO 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

YASMIN

Middle

Last Name

GOSIENGFIAO

Business Name

YASMIN C GOSIENGFIAO

Original Issue Date

07/14/2005

Effective Date

07/19/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60614

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/19/2023