RUSSELL S EISENBERG MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125013609

License Status

EXPIRED

Business

First Name

RUSSELL S

Last Name

EISENBERG

Suffix

Business Name

RUSSELL S EISENBERG MD

Original Issue Date

12/30/1981

Effective Date

12/30/1981

Expiration Date

01/01/1984

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Addiction Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006