DANISA KENA DAUBENSPECK DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****90

License Status

ACTIVE

Business

Title

First Name

DANISA

Middle

KENA

Last Name

DAUBENSPECK

Business Name

DANISA KENA DAUBENSPECK DO

Original Issue Date

11/14/2019

Effective Date

04/18/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60647

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/18/2023