CORY ROBERT DEBURGHGRAEVE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****36

License Status

ACTIVE

Business

Title

First Name

CORY

Middle

ROBERT

Last Name

DEBURGHGRAEVE

Business Name

CORY ROBERT DEBURGHGRAEVE MD

Original Issue Date

09/21/2016

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/06/2023