DAVID RAPHAEL SPIELBERG Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****75

License Status

ACTIVE

Business

First Name

DAVID

Middle

RAPHAEL

Last Name

SPIELBERG

Business Name

DAVID RAPHAEL SPIELBERG

Original Issue Date

08/27/2021

Effective Date

04/24/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/24/2023