GARY L KIRSHENBAUM 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

GARY L

Last Name

KIRSHENBAUM

Suffix

Business Name

GARY L KIRSHENBAUM MD

Original Issue Date

01/01/1997

Effective Date

05/02/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60616

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/02/2023