MICHAEL J IMBURGIA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****84

License Status

NOT RENEWED

Business

First Name

MICHAEL J

Last Name

IMBURGIA

Suffix

Business Name

MICHAEL J IMBURGIA MD

Original Issue Date

01/25/1988

Effective Date

01/25/1988

Expiration Date

07/31/1990

City

ST LOUIS

State

Zip

63116

County

MISSOURI

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006