CHRISTIAN ROBERT WILLENBORG MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125041676

License Status

CANCELLED

Business

First Name

CHRISTIAN

Middle

ROBERT

Last Name

WILLENBORG

Suffix

Business Name

CHRISTIAN ROBERT WILLENBORG MD

Original Issue Date

06/24/2000

Effective Date

06/24/2000

Expiration Date

06/23/2003

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006