MARY NISSEN SCHRAUFNAGEL 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

First Name

MARY NISSEN

Last Name

SCHRAUFNAGEL

Suffix

Business Name

MARY NISSEN SCHRAUFNAGEL MD

Original Issue Date

08/19/1981

Effective Date

05/09/2023

Expiration Date

07/31/2026

City

OAK PARK

State

Zip

60302

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2023