MARIA ELENA FISFALEN MD 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

ELENA

Last Name

FISFALEN

Suffix

Business Name

MARIA ELENA FISFALEN MD

Original Issue Date

07/06/2001

Effective Date

06/30/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60608

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/30/2023