EDUARDO M NIJENSOHN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****44

License Status

NOT RENEWED

Business

First Name

EDUARDO M

Last Name

NIJENSOHN

Suffix

Business Name

EDUARDO M NIJENSOHN MD

Original Issue Date

12/15/1982

Effective Date

05/04/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60602

County

COOK

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

01/14/2021