IRVING HOWARD DISTELHEIM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036029454

License Status

NOT RENEWED

Business

First Name

IRVING HOWARD

Last Name

DISTELHEIM

Suffix

Business Name

IRVING HOWARD DISTELHEIM MD

Original Issue Date

05/31/1949

Effective Date

04/21/2014

Expiration Date

07/31/2017

City

HIGHLAND PARK

State

Zip

60035

County

LAKE

Ever Disciplined

LastModifiedDate

11/01/2017