BRIAN CHARLES BAMBERGER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****54

License Status

ACTIVE

Business

First Name

BRIAN

Middle

CHARLES

Last Name

BAMBERGER

Suffix

Business Name

BRIAN CHARLES BAMBERGER MD

Original Issue Date

06/22/2018

Effective Date

06/07/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61605

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/07/2023