CHRISTOPHER FREDERICK MILDENBERG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****62

License Status

NOT RENEWED

Business

First Name

CHRISTOPHER

Middle

FREDERICK

Last Name

MILDENBERG

Suffix

Business Name

CHRISTOPHER FREDERICK MILDENBERG MD

Original Issue Date

05/30/2006

Effective Date

05/30/2006

Expiration Date

07/31/2008

City

EVANSTON

State

Zip

60201

County

COOK

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

11/06/2008