MARC ELLIOTT BIRNBAUM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****40

License Status

NOT RENEWED

Business

First Name

MARC

Middle

ELLIOTT

Last Name

BIRNBAUM

Suffix

Business Name

MARC ELLIOTT BIRNBAUM MD

Original Issue Date

08/21/2007

Effective Date

08/21/2007

Expiration Date

07/31/2008

City

NAPERVILLE

State

Zip

60540

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008