ELIZABETH MARIE WOLLENSAK DO 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

ELIZABETH

Middle

MARIE

Last Name

WOLLENSAK

Business Name

ELIZABETH MARIE WOLLENSAK DO

Original Issue Date

04/06/2015

Effective Date

06/29/2023

Expiration Date

07/31/2026

City

OAK PARK

State

Zip

60302

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/29/2023