SAMUEL L VOLCHENBOUM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****73

License Status

ACTIVE

Business

First Name

SAMUEL

Middle

Last Name

VOLCHENBOUM

Suffix

Business Name

SAMUEL L VOLCHENBOUM MD

Original Issue Date

07/27/2007

Effective Date

07/25/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/25/2023