ANNA KONSTANTINOVNA SHMAGEL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****85

License Status

ACTIVE

Business

Title

First Name

ANNA

Middle

KONSTANTINOVNA

Last Name

SHMAGEL

Business Name

ANNA KONSTANTINOVNA SHMAGEL MD

Original Issue Date

03/08/2012

Effective Date

04/21/2023

Expiration Date

07/31/2026

City

LONG GROVE

State

Zip

60047

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/21/2023