JEFFREY ALLEN HIMMELBERG Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****93

License Status

NOT RENEWED

Business

First Name

JEFFREY

Middle

ALLEN

Last Name

HIMMELBERG

Business Name

JEFFREY ALLEN HIMMELBERG

Original Issue Date

12/01/2005

Effective Date

12/01/2005

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008