SERGEY SHUSHUNOV 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

First Name

SERGEY

Last Name

SHUSHUNOV

Suffix

Business Name

SERGEY SHUSHUNOV MD

Original Issue Date

01/25/2022

Effective Date

04/29/2023

Expiration Date

07/31/2026

City

BUFFALO GROVE

State

Zip

60089

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

04/29/2023