IRA BIRNBAUM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****13

License Status

NOT RENEWED

Business

First Name

IRA

Last Name

BIRNBAUM

Suffix

Business Name

IRA BIRNBAUM MD

Original Issue Date

06/16/1992

Effective Date

06/16/1992

Expiration Date

07/31/1993

City

CHICAGO

State

Zip

60657

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006