FRED BENNETT GINSBERG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****54

License Status

NOT RENEWED

Business

First Name

FRED

Middle

BENNETT

Last Name

GINSBERG

Suffix

Business Name

FRED BENNETT GINSBERG MD

Original Issue Date

02/13/2004

Effective Date

02/13/2004

Expiration Date

07/31/2008

City

FREEBURG

State

Zip

62243

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020