EGON MICHAEL DOPPENBERG MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036113314

License Status

ACTIVE

Business

First Name

EGON

Middle

MICHAEL

Last Name

DOPPENBERG

Suffix

Business Name

EGON MICHAEL DOPPENBERG MD

Original Issue Date

03/22/2005

Effective Date

04/12/2023

Expiration Date

07/31/2026

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Ever Disciplined

LastModifiedDate

04/12/2023