DANIEL S EIFERMAN Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036115739

License Status

NOT RENEWED

Business

First Name

DANIEL

Middle

Last Name

EIFERMAN

Business Name

DANIEL S EIFERMAN

Original Issue Date

04/20/2006

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

MORTON GROVE

State

Zip

60053

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2011