DAVID RICHARD MADENBERG DO Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036060510

License Status

INACTIVE

Business

First Name

DAVID

Middle

RICHARD

Last Name

MADENBERG

Suffix

Business Name

DAVID RICHARD MADENBERG DO

Original Issue Date

07/10/1980

Effective Date

07/10/1980

Expiration Date

07/31/1987

City

MILWAUKEE

State

Zip

53225

Ever Disciplined

LastModifiedDate

01/31/2011