AURELIAN S IVAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****84

License Status

ACTIVE

Business

First Name

AURELIAN

Middle

Last Name

IVAN

Suffix

Business Name

AURELIAN S IVAN MD

Original Issue Date

05/31/2011

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

ARLINGTON HEIGHTS

State

Zip

60005

County

WINNEBAGO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2023