CARLOS C KELLENBERGER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036057301

License Status

NOT RENEWED

Business

First Name

CARLOS C

Last Name

KELLENBERGER

Suffix

Business Name

CARLOS C KELLENBERGER MD

Original Issue Date

07/24/1978

Effective Date

07/31/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60618

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017