DAVID M SPELLBERG MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125019948

License Status

EXPIRED

Business

First Name

DAVID M

Last Name

SPELLBERG

Suffix

Business Name

DAVID M SPELLBERG MD

Original Issue Date

06/30/1986

Effective Date

06/30/1986

Expiration Date

06/23/1989

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Urology

Ever Disciplined

LastModifiedDate

09/22/2006