GREGORY B AUFFENBERG MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055899

License Status

CANCELLED

Business

Title

First Name

GREGORY

Middle

Last Name

AUFFENBERG

Business Name

GREGORY B AUFFENBERG MD

Original Issue Date

06/23/2012

Effective Date

06/23/2012

Expiration Date

06/22/2014

City

FAIRVIEW HEIGHTS

State

Zip

62208

County

SAINT CLAIR

Specialty/Qualifier

Urology

Ever Disciplined

LastModifiedDate

04/05/2012