KENNETH J WASHENIK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****83

License Status

ACTIVE

Business

First Name

KENNETH

Middle

Last Name

WASHENIK

Suffix

Business Name

KENNETH J WASHENIK MD

Original Issue Date

12/14/2001

Effective Date

06/13/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/13/2023