BRIAN CHARLES BAMBERGER MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125065548

License Status

EXPIRED

Business

First Name

BRIAN

Middle

CHARLES

Last Name

BAMBERGER

Suffix

Business Name

BRIAN CHARLES BAMBERGER MD

Original Issue Date

07/01/2017

Effective Date

07/01/2017

Expiration Date

06/30/2018

City

PEORIA

State

Zip

61605

County

PEORIA

Specialty/Qualifier

Internal Medicine/Pediatrics

Ever Disciplined

LastModifiedDate

10/25/2018