DAVID MARTIN ELBAUM DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036058890

License Status

NOT RENEWED

Business

First Name

DAVID MARTIN

Last Name

ELBAUM

Suffix

Business Name

DAVID MARTIN ELBAUM DO

Original Issue Date

05/30/1976

Effective Date

05/30/1976

Expiration Date

07/01/1982

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006