CARLOS C KELLENBERGER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****68

License Status

NOT RENEWED

Business

First Name

CARLOS C

Last Name

KELLENBERGER

Suffix

Business Name

CARLOS C KELLENBERGER MD

Original Issue Date

01/01/1997

Effective Date

07/31/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60618

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017