BORIS GAMBURG MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****05

License Status

CANCELLED

Business

First Name

BORIS

Last Name

GAMBURG

Suffix

Business Name

BORIS GAMBURG MD

Original Issue Date

08/04/1982

Effective Date

08/04/1982

Expiration Date

07/31/2002

City

OAK BROOK

State

Zip

60523

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006