CAROLYN FEDERMAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****57

License Status

ACTIVE

Business

First Name

CAROLYN

Last Name

FEDERMAN

Suffix

Business Name

CAROLYN FEDERMAN MD

Original Issue Date

11/17/1997

Effective Date

07/25/2023

Expiration Date

07/31/2026

City

LONG GROVE

State

Zip

60047

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/25/2023