HENRY LOUIS WILDBERGER 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

HENRY LOUIS

Last Name

WILDBERGER

Suffix

Business Name

HENRY LOUIS WILDBERGER MD

Original Issue Date

01/01/1997

Effective Date

05/09/2011

Expiration Date

07/31/2014

City

MOUNT PROSPECT

State

Zip

60056

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014