MICHAEL EGGERSTEDT MD 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

MICHAEL

Last Name

EGGERSTEDT

Business Name

MICHAEL EGGERSTEDT MD

Original Issue Date

06/27/2022

Effective Date

04/09/2023

Expiration Date

07/31/2026

City

CREST HILL

State

Zip

60403

County

WILL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/09/2023