DEREK C SONNENBURG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****20

License Status

NOT RENEWED

Business

First Name

DEREK C

Last Name

SONNENBURG

Suffix

Business Name

DEREK C SONNENBURG MD

Original Issue Date

03/19/1993

Effective Date

05/27/2008

Expiration Date

07/31/2011

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011