GARY E OLDENBURG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****55

License Status

NOT RENEWED

Business

First Name

GARY

Middle

Last Name

OLDENBURG

Suffix

Business Name

GARY E OLDENBURG MD

Original Issue Date

08/01/2001

Effective Date

06/23/2008

Expiration Date

07/31/2011

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011