BRIAN DANIEL KULBERSH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****75

License Status

NOT RENEWED

Business

First Name

BRIAN

Middle

DANIEL

Last Name

KULBERSH

Suffix

Business Name

BRIAN DANIEL KULBERSH MD

Original Issue Date

04/08/2011

Effective Date

04/08/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60614

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014