GOSPODIN STEFANOV STEFANOV MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****45

License Status

ACTIVE

Business

Title

First Name

GOSPODIN

Middle

STEFANOV

Last Name

STEFANOV

Business Name

GOSPODIN STEFANOV STEFANOV MD

Original Issue Date

06/17/2009

Effective Date

04/14/2023

Expiration Date

07/31/2026

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/14/2023