ANNA BUNPLOOG-LANE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****64

License Status

ACTIVE

Business

First Name

ANNA

Last Name

BUNPLOOG-LANE

Suffix

Business Name

ANNA BUNPLOOG-LANE MD

Original Issue Date

01/14/2008

Effective Date

04/12/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60659

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2023