DOUGLAS ALLEN KAFFENBERGER Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****06

License Status

NOT RENEWED

Business

First Name

DOUGLAS

Middle

ALLEN

Last Name

KAFFENBERGER

Business Name

DOUGLAS ALLEN KAFFENBERGER

Original Issue Date

07/24/2008

Effective Date

07/24/2008

Expiration Date

07/31/2011

City

HARVEY

State

Zip

60426

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

04/11/2017