DOUGLAS MICHAEL LUXENBERG DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125048527

License Status

EXPIRED

Business

First Name

DOUGLAS

Middle

MICHAEL

Last Name

LUXENBERG

Suffix

Business Name

DOUGLAS MICHAEL LUXENBERG DO

Original Issue Date

07/01/2004

Effective Date

07/01/2004

Expiration Date

06/30/2006

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Pediatric Cardiology

Ever Disciplined

LastModifiedDate

09/22/2006