ROBERT M GULLBERG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****24

License Status

NOT RENEWED

Business

First Name

ROBERT M

Last Name

GULLBERG

Suffix

Business Name

ROBERT M GULLBERG MD

Original Issue Date

03/01/1983

Effective Date

03/01/1983

Expiration Date

07/31/1987

City

EVANSTON

State

Zip

60201

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006