CHARLES V HOLMBERG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****97

License Status

NOT RENEWED

Business

First Name

CHARLES V

Last Name

HOLMBERG

Suffix

Business Name

CHARLES V HOLMBERG MD

Original Issue Date

01/01/1997

Effective Date

06/07/2011

Expiration Date

07/31/2014

City

GURNEE

State

Zip

60031

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014