DAVID L EISENBERG MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****90

License Status

ACTIVE

Business

Title

First Name

DAVID

Middle

Last Name

EISENBERG

Business Name

DAVID L EISENBERG MD

Original Issue Date

08/31/2005

Effective Date

04/11/2023

Expiration Date

07/31/2026

City

FAIRVIEW HEIGHTS

State

Zip

62208

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/11/2023