ALIESJE GODELIEVE CLARA SORGELOOS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****80

License Status

ACTIVE

Business

Title

First Name

ALIESJE

Middle

GODELIEVE CLARA

Last Name

SORGELOOS

Business Name

ALIESJE GODELIEVE CLARA SORGELOOS MD

Original Issue Date

07/25/2018

Effective Date

07/28/2023

Expiration Date

07/31/2026

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/28/2023