EDWARD E LISBERG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****12

License Status

NOT RENEWED

Business

First Name

EDWARD E

Last Name

LISBERG

Suffix

Business Name

EDWARD E LISBERG MD

Original Issue Date

03/12/1984

Effective Date

06/05/2017

Expiration Date

09/30/2020

City

RIVER FOREST

State

Zip

60305

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021