ROBERT CHARLES LICHTENBERG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****56

License Status

NOT RENEWED

Business

Title

First Name

ROBERT

Middle

CHARLES

Last Name

LICHTENBERG

Business Name

ROBERT CHARLES LICHTENBERG MD

Original Issue Date

09/08/2004

Effective Date

05/19/2011

Expiration Date

07/31/2014

City

BLUE ISLAND

State

Zip

60406

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

04/05/2020