ERIC EUGENE WHITAKER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036093156

License Status

NOT RENEWED

Business

First Name

ERIC EUGENE

Last Name

WHITAKER

Suffix

Business Name

ERIC EUGENE WHITAKER MD

Original Issue Date

06/11/1996

Effective Date

05/06/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60649

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017