AUDREY ORMBERG Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125032537

License Status

EXPIRED

Business

First Name

AUDREY

Last Name

ORMBERG

Business Name

AUDREY ORMBERG

Original Issue Date

05/15/1995

Effective Date

05/15/1995

Expiration Date

06/30/1998

City

CHICAGO

State

Zip

60640

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006