MONICA SHALISE BUCKNER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****67

License Status

ACTIVE

Business

Title

First Name

MONICA

Middle

SHALISE

Last Name

BUCKNER

Business Name

MONICA SHALISE BUCKNER MD

Original Issue Date

12/12/2018

Effective Date

07/04/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60615

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/04/2023