BRIAN CHARLES BAMBERGER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036146546

License Status

ACTIVE

Business

First Name

BRIAN

Middle

CHARLES

Last Name

BAMBERGER

Suffix

Business Name

BRIAN CHARLES BAMBERGER MD

Original Issue Date

06/22/2018

Effective Date

06/07/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61605

County

PEORIA

Ever Disciplined

LastModifiedDate

06/07/2023