ANDREA DIANE BIRNBAUM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036122825

License Status

ACTIVE

Business

First Name

ANDREA

Middle

DIANE

Last Name

BIRNBAUM

Suffix

Business Name

ANDREA DIANE BIRNBAUM MD

Original Issue Date

03/11/2009

Effective Date

05/16/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

05/16/2023