ANDREA RAE LOBERG MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****79

License Status

ACTIVE

Business

Title

First Name

ANDREA

Middle

RAE

Last Name

LOBERG

Business Name

ANDREA RAE LOBERG MD

Original Issue Date

09/11/2015

Effective Date

04/20/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60615

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/20/2023