BONNIE ELKINS WISE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****75

License Status

ACTIVE

Business

First Name

BONNIE ELKINS

Last Name

WISE

Suffix

Business Name

BONNIE ELKINS WISE MD

Original Issue Date

04/16/1997

Effective Date

07/08/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60610

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/08/2023