MARIA ANDREEVNA OSIPOVA Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****96

License Status

ACTIVE

Business

First Name

MARIA

Middle

ANDREEVNA

Last Name

OSIPOVA

Business Name

MARIA ANDREEVNA OSIPOVA

Original Issue Date

04/19/2010

Effective Date

04/11/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/11/2023