PENELOPE BURIKAS Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****60

License Status

ACTIVE

Business

First Name

PENELOPE

Last Name

BURIKAS

Business Name

PENELOPE BURIKAS

Original Issue Date

03/26/2020

Effective Date

04/13/2023

Expiration Date

07/31/2026

City

MT PROSPECT

State

Zip

60056

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/13/2023