PAUL F DETJEN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****59

License Status

ACTIVE

Business

First Name

PAUL F

Last Name

DETJEN

Suffix

Business Name

PAUL F DETJEN MD

Original Issue Date

06/23/1986

Effective Date

06/28/2023

Expiration Date

07/31/2026

City

KENILWORTH

State

Zip

60043

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/28/2023