GERALD AMBROSE CHARNOGURSKY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****89

License Status

ACTIVE

Business

First Name

GERALD AMBROSE

Last Name

CHARNOGURSKY

Suffix

Business Name

GERALD AMBROSE CHARNOGURSKY MD

Original Issue Date

07/09/1990

Effective Date

07/17/2023

Expiration Date

07/31/2026

City

MAYWOOD

State

Zip

60153

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/17/2023