NISSIM GEDALIAH STOLBERG DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036157013

License Status

ACTIVE

Business

Title

First Name

NISSIM

Middle

GEDALIAH

Last Name

STOLBERG

Business Name

NISSIM GEDALIAH STOLBERG DO

Original Issue Date

05/20/2021

Effective Date

04/16/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

04/16/2023