LOUIS JACK FLANCBAUM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036059574

License Status

NOT RENEWED

Business

First Name

LOUIS

Middle

JACK

Last Name

FLANCBAUM

Suffix

Business Name

LOUIS JACK FLANCBAUM MD

Original Issue Date

10/26/1979

Effective Date

10/26/1979

Expiration Date

07/31/1984

City

CHICAGO

State

Zip

60645

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006