MICHAEL LADD EISENSTADT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036058311

License Status

NOT RENEWED

Business

First Name

MICHAEL LADD

Last Name

EISENSTADT

Suffix

Business Name

MICHAEL LADD EISENSTADT MD

Original Issue Date

01/29/1979

Effective Date

01/29/1979

Expiration Date

07/01/1982

City

PARK RIDGE

State

Zip

60068

County

COOK

Ever Disciplined

LastModifiedDate

10/14/2008