EZRA NATHANIEL TEITELBAUM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036131783

License Status

ACTIVE

Business

Title

First Name

EZRA

Middle

NATHANIEL

Last Name

TEITELBAUM

Business Name

EZRA NATHANIEL TEITELBAUM MD

Original Issue Date

11/29/2012

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60640

County

COOK

Ever Disciplined

LastModifiedDate

03/17/2025