ANNA B GOPANIUK-FOLGA Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****51

License Status

ACTIVE

Business

First Name

ANNA B

Last Name

GOPANIUK-FOLGA

Business Name

ANNA B GOPANIUK-FOLGA

Original Issue Date

03/23/1994

Effective Date

06/21/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60631

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/21/2023