ANDREA RAE LOBERG MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125061010

License Status

CANCELLED

Business

Title

First Name

ANDREA

Middle

RAE

Last Name

LOBERG

Business Name

ANDREA RAE LOBERG MD

Original Issue Date

07/01/2015

Effective Date

07/01/2015

Expiration Date

06/30/2016

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Obstetrics and Gynecology

Ever Disciplined

LastModifiedDate

04/21/2015