KATHRYN R DAMBERG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****21

License Status

NOT RENEWED

Business

First Name

KATHRYN R

Last Name

DAMBERG

Suffix

Business Name

KATHRYN R DAMBERG MD

Original Issue Date

06/24/1996

Effective Date

06/24/1996

Expiration Date

07/31/1999

City

LAKE FOREST

State

Zip

60045

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006