ALAN J BIRNBAUM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****41

License Status

NOT RENEWED

Business

Title

First Name

ALAN J

Last Name

BIRNBAUM

Business Name

ALAN J BIRNBAUM MD

Original Issue Date

02/24/1988

Effective Date

02/24/1988

Expiration Date

07/31/1993

City

CHICAGO

State

Zip

60645

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/28/2020