ETHAN MICHAEL MEISEL MD - Medical Doctor License in Illinois | # 036123753

ETHAN MICHAEL MEISEL MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036123753

License Status

INACTIVE

Business

N

First Name

ETHAN

Middle

MICHAEL

Last Name

MEISEL

Suffix

MD

Business Name

ETHAN MICHAEL MEISEL MD

Original Issue Date

06/16/2009

Effective Date

04/17/2017

Expiration Date

09/30/2020

State

IL

Ever Disciplined

N

LastModifiedDate

04/05/2020