ETHAN E BICKELHAUPT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036125019

License Status

NOT RENEWED

Business

First Name

ETHAN

Middle

Last Name

BICKELHAUPT

Suffix

Business Name

ETHAN E BICKELHAUPT MD

Original Issue Date

02/19/2010

Effective Date

04/23/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

12/03/2024

Case Number

2009008569

Action

Probation

Discipline Start Date

02/19/2010

Discipline End Date

05/31/2013

Discipline Reason

after being disciplined in the state of Kansas.