DAVID CZUKERBERG - Medical Doctor License in Illinois | # 125033236

DAVID CZUKERBERG

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125033236

License Status

EXPIRED

Business

N

First Name

DAVID

Last Name

CZUKERBERG

Business Name

DAVID CZUKERBERG

Original Issue Date

06/08/1995

Effective Date

06/08/1995

Expiration Date

06/30/1998

State

IL

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

N

LastModifiedDate

09/22/2006