DONALD MASSENBURG MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125037863

License Status

CANCELLED

Business

First Name

DONALD

Last Name

MASSENBURG

Suffix

Business Name

DONALD MASSENBURG MD

Original Issue Date

07/01/2002

Effective Date

07/01/2002

Expiration Date

06/30/2004

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Rheumatology

Ever Disciplined

LastModifiedDate

09/22/2006