ANNE M DOPPENBERG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****69

License Status

NOT RENEWED

Business

First Name

ANNE M

Last Name

DOPPENBERG

Suffix

Business Name

ANNE M DOPPENBERG MD

Original Issue Date

07/09/2007

Effective Date

07/09/2007

Expiration Date

07/31/2008

City

HIGHLAND PARK

State

Zip

60035

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020