RONALD A DIMENTBERG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****71

License Status

NOT RENEWED

Business

First Name

RONALD A

Last Name

DIMENTBERG

Suffix

Business Name

RONALD A DIMENTBERG MD

Original Issue Date

12/06/1989

Effective Date

12/06/1989

Expiration Date

07/31/1990

City

CHICAGO

State

Zip

60657

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006