MICHAEL MARTIN PRIEBE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****05

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

MARTIN

Last Name

PRIEBE

Suffix

Business Name

MICHAEL MARTIN PRIEBE MD

Original Issue Date

09/27/2005

Effective Date

09/27/2005

Expiration Date

07/31/2008

City

MAYWOOD

State

Zip

60153

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008