ELIZA SUKIENNIK MAGNUSEN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****92

License Status

ACTIVE

Business

Title

First Name

ELIZA

Middle

SUKIENNIK

Last Name

MAGNUSEN

Business Name

ELIZA SUKIENNIK MAGNUSEN MD

Original Issue Date

06/23/2017

Effective Date

04/05/2023

Expiration Date

07/31/2026

City

WESTERN SPRINGS

State

Zip

60558

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/26/2023