EVAN SAUL GREENBAUM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****77

License Status

ACTIVE

Business

Title

First Name

EVAN

Middle

SAUL

Last Name

GREENBAUM

Business Name

EVAN SAUL GREENBAUM MD

Original Issue Date

06/16/2015

Effective Date

04/11/2023

Expiration Date

07/31/2026

City

WINNETKA

State

Zip

60093

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/11/2023