AMANDA MEGAN ISRAEL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036146107

License Status

NOT RENEWED

Business

Title

First Name

AMANDA

Middle

MEGAN

Last Name

ISRAEL

Business Name

AMANDA MEGAN ISRAEL MD

Original Issue Date

05/11/2018

Effective Date

05/11/2018

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021