BRIAN CHARLES BAMBERGER MD - Medical Doctor License in Illinois | # 125065548

BRIAN CHARLES BAMBERGER MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125065548

License Status

EXPIRED

Business

N

First Name

BRIAN

Middle

CHARLES

Last Name

BAMBERGER

Suffix

MD

Business Name

BRIAN CHARLES BAMBERGER MD

Original Issue Date

07/01/2017

Effective Date

07/01/2017

Expiration Date

06/30/2018

State

IL

Specialty/Qualifier

Internal Medicine/Pediatrics

Ever Disciplined

N

LastModifiedDate

10/25/2018