MARK P BURANOSKY 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

MARK P

Last Name

BURANOSKY

Business Name

MARK P BURANOSKY

Original Issue Date

08/10/1995

Effective Date

05/18/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60634

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/18/2023