TESSA LORRAINE QUALKINBUSH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****58

License Status

ACTIVE

Business

Title

First Name

TESSA

Middle

LORRAINE

Last Name

QUALKINBUSH

Business Name

TESSA LORRAINE QUALKINBUSH MD

Original Issue Date

06/15/2019

Effective Date

04/11/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60605

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/11/2023