ABENA KROW GOOSSEN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****74

License Status

ACTIVE

Business

Title

First Name

ABENA

Last Name

KROW GOOSSEN

Business Name

ABENA KROW GOOSSEN MD

Original Issue Date

06/06/2019

Effective Date

07/27/2023

Expiration Date

07/31/2026

City

GALESBURG

State

Zip

61401

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/27/2023