TERESA M CVENGROS 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

TERESA M

Last Name

CVENGROS

Business Name

TERESA M CVENGROS

Original Issue Date

10/17/1996

Effective Date

06/12/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60601

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/12/2023