DONALD MASSENBURG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036115006

License Status

NOT RENEWED

Business

First Name

DONALD

Last Name

MASSENBURG

Suffix

Business Name

DONALD MASSENBURG MD

Original Issue Date

12/16/2005

Effective Date

07/25/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60623

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014