IAN S KATZNELSON 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

First Name

IAN

Middle

Last Name

KATZNELSON

Suffix

Business Name

IAN S KATZNELSON MD

Original Issue Date

05/02/2002

Effective Date

06/11/2023

Expiration Date

07/31/2026

City

LAKE FOREST

State

Zip

60045

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/11/2023