BORIS ELLIOTT REISBERG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036041874

License Status

NOT RENEWED

Business

First Name

BORIS ELLIOTT

Last Name

REISBERG

Suffix

Business Name

BORIS ELLIOTT REISBERG MD

Original Issue Date

07/18/1968

Effective Date

07/18/1968

Expiration Date

07/31/1999

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006