SHANA LEAH MARGOLIS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****88

License Status

ACTIVE

Business

First Name

SHANA

Middle

LEAH

Last Name

MARGOLIS

Suffix

Business Name

SHANA LEAH MARGOLIS MD

Original Issue Date

02/23/2007

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

LAKE FOREST

State

Zip

60045

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/19/2023