DANIEL VICTOR EHRENSAFT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036052960

License Status

NOT RENEWED

Business

First Name

DANIEL VICTOR

Last Name

EHRENSAFT

Suffix

Business Name

DANIEL VICTOR EHRENSAFT MD

Original Issue Date

07/15/1976

Effective Date

07/15/1976

City

SKOKIE

State

Zip

60076

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006