ETHAN MICHAEL MEISEL MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036123753

License Status

INACTIVE

Business

First Name

ETHAN

Middle

MICHAEL

Last Name

MEISEL

Suffix

Business Name

ETHAN MICHAEL MEISEL MD

Original Issue Date

06/16/2009

Effective Date

04/17/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

04/05/2020