MARK A RUDBERG MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****58

License Status

ACTIVE

Business

First Name

MARK A

Last Name

RUDBERG

Suffix

Business Name

MARK A RUDBERG MD

Original Issue Date

06/20/1989

Effective Date

04/11/2023

Expiration Date

07/31/2026

City

BANNOCKBURN

State

Zip

60015

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/11/2023