ALLEN IRWIN KRISSBERG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****25

License Status

NOT RENEWED

Business

First Name

ALLEN IRWIN

Last Name

KRISSBERG

Suffix

Business Name

ALLEN IRWIN KRISSBERG MD

Original Issue Date

05/07/2002

Effective Date

06/06/2014

Expiration Date

07/31/2017

City

LINDENHURST

State

Zip

60046

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020