DAVID THEODORE GREENWALD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036143689

License Status

NOT RENEWED

Business

Title

First Name

DAVID

Middle

THEODORE

Last Name

GREENWALD

Business Name

DAVID THEODORE GREENWALD MD

Original Issue Date

06/28/2017

Effective Date

06/02/2020

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60616

County

COOK

Ever Disciplined

LastModifiedDate

11/30/2023