ANANYA T SPANN Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****90

License Status

ACTIVE

Business

First Name

ANANYA T

Last Name

SPANN

Business Name

ANANYA T SPANN

Original Issue Date

02/21/1996

Effective Date

08/25/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60643

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/25/2023