ALYSSA KAHAN FARGOTSTEIN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****95

License Status

ACTIVE

Business

Title

First Name

ALYSSA

Middle

KAHAN

Last Name

FARGOTSTEIN

Business Name

ALYSSA KAHAN FARGOTSTEIN MD

Original Issue Date

10/18/2021

Effective Date

06/16/2023

Expiration Date

07/31/2026

City

GLENVIEW

State

Zip

60025

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/16/2023