RONALD M SHENFELD 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

RONALD

Middle

Last Name

SHENFELD

Suffix

Business Name

RONALD M SHENFELD MD

Original Issue Date

03/12/2021

Effective Date

05/09/2023

Expiration Date

07/31/2026

City

STREATOR

State

Zip

61364

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2023