MARK E KOSANOVICH 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

MARK

Middle

Last Name

KOSANOVICH

Suffix

Business Name

MARK E KOSANOVICH MD

Original Issue Date

09/07/1999

Effective Date

07/16/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60616

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/16/2023