GERALD MARC EISENBERG MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****84

License Status

ACTIVE

Business

First Name

GERALD MARC

Last Name

EISENBERG

Suffix

Business Name

GERALD MARC EISENBERG MD

Original Issue Date

01/01/1997

Effective Date

05/31/2023

Expiration Date

07/31/2026

City

HIGHLAND PARK

State

Zip

60035

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/31/2023