CHRISTINA LEWICKY GAUPP 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

CHRISTINA

Middle

LEWICKY

Last Name

GAUPP

Business Name

CHRISTINA LEWICKY GAUPP MD

Original Issue Date

05/24/2005

Effective Date

05/19/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/19/2023