BOSS POVIENG MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****91

License Status

ACTIVE

Business

Title

First Name

BOSS

Last Name

POVIENG

Business Name

BOSS POVIENG MD

Original Issue Date

04/07/2024

Effective Date

04/07/2024

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60642

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/24/2026