KIM WALLACE HAMMERBERG MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****49

License Status

ACTIVE

Business

First Name

KIM WALLACE

Last Name

HAMMERBERG

Suffix

Business Name

KIM WALLACE HAMMERBERG MD

Original Issue Date

01/01/1997

Effective Date

05/10/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60607

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/10/2023