JONATHAN MICHAEL BIRNBERG MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125051064

License Status

CANCELLED

Business

First Name

JONATHAN

Middle

MICHAEL

Last Name

BIRNBERG

Suffix

Business Name

JONATHAN MICHAEL BIRNBERG MD

Original Issue Date

06/24/2006

Effective Date

06/24/2006

Expiration Date

06/23/2009

City

ZION

State

Zip

60099

County

LAKE

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006