FRIEDRICK W COLBERG Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125011501

License Status

EXPIRED

Business

First Name

FRIEDRICK

Middle

Last Name

COLBERG

Business Name

FRIEDRICK W COLBERG

Original Issue Date

07/01/1980

Effective Date

07/01/1980

Expiration Date

12/19/1994

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006