MITCHELL TODD SALTZBERG MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****46

License Status

CANCELLED

Business

First Name

MITCHELL TODD

Last Name

SALTZBERG

Suffix

Business Name

MITCHELL TODD SALTZBERG MD

Original Issue Date

05/18/1995

Effective Date

05/18/1995

Expiration Date

07/31/2008

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/17/2008