EDWARD L SCLAMBERG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036040690

License Status

NOT RENEWED

Business

First Name

EDWARD

Middle

Last Name

SCLAMBERG

Suffix

Business Name

EDWARD L SCLAMBERG MD

Original Issue Date

09/01/1966

Effective Date

04/20/2017

Expiration Date

09/30/2020

City

SKOKIE

State

Zip

60076

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021