MAMAK EATESAM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036134330

License Status

NOT RENEWED

Business

Title

First Name

MAMAK

Last Name

EATESAM

Business Name

MAMAK EATESAM MD

Original Issue Date

12/18/2013

Effective Date

01/03/2018

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021