ETHAN L GUNDECK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036103863

License Status

NOT RENEWED

Business

First Name

ETHAN

Middle

Last Name

GUNDECK

Suffix

Business Name

ETHAN L GUNDECK MD

Original Issue Date

11/29/2000

Effective Date

11/29/2000

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

05/19/2017