CHRISTIAN JOHN SANVANSON Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****87

License Status

ACTIVE

Business

First Name

CHRISTIAN

Middle

JOHN

Last Name

SANVANSON

Business Name

CHRISTIAN JOHN SANVANSON

Original Issue Date

10/29/2021

Effective Date

04/09/2023

Expiration Date

07/31/2026

City

MOUNT PROSPECT

State

Zip

60056

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

04/09/2023