ETHAN AUSTHOF MD - Medical Doctor License in Illinois | # 125081118

ETHAN AUSTHOF MD

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125081118

License Status

ACTIVE

Business

N

Title

MD

First Name

ETHAN

Last Name

AUSTHOF

Business Name

ETHAN AUSTHOF MD

Original Issue Date

07/01/2023

Effective Date

07/01/2023

Expiration Date

06/30/2026

State

IL

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

N

LastModifiedDate

02/09/2023