ROY CLARENCE OSTBERG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****63

License Status

NOT RENEWED

Business

First Name

ROY CLARENCE

Last Name

OSTBERG

Suffix

Business Name

ROY CLARENCE OSTBERG MD

Original Issue Date

01/01/1997

Expiration Date

07/31/2002

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017