ERIC DAVID ENGERON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036093333

License Status

NOT RENEWED

Business

First Name

ERIC DAVID

Last Name

ENGERON

Suffix

Business Name

ERIC DAVID ENGERON MD

Original Issue Date

06/27/1996

Effective Date

06/27/1996

Expiration Date

07/31/1999

City

EVANSTON

State

Zip

60202

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006