MICHAEL S GREENBAUM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****37

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

Last Name

GREENBAUM

Suffix

Business Name

MICHAEL S GREENBAUM MD

Original Issue Date

07/24/1990

Effective Date

07/24/1990

Expiration Date

07/31/2005

City

LAKE BLUFF

State

Zip

60044

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020