DANIEL L ENGEBERG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036057639

License Status

NOT RENEWED

Business

First Name

DANIEL L

Last Name

ENGEBERG

Suffix

Business Name

DANIEL L ENGEBERG MD

Original Issue Date

09/25/1978

Effective Date

09/25/1978

City

LAGRANGE

State

Zip

60525

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006