ADELAIDE PACKARD MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****69

License Status

ACTIVE

Business

Title

First Name

ADELAIDE

Last Name

PACKARD

Business Name

ADELAIDE PACKARD MD

Original Issue Date

12/23/2022

Effective Date

06/13/2023

Expiration Date

07/31/2026

City

TINLEY PARK

State

Zip

60487

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/13/2023