ANNE E NIEDENTHAL MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125015006

License Status

EXPIRED

Business

First Name

ANNE E

Last Name

NIEDENTHAL

Suffix

Business Name

ANNE E NIEDENTHAL MD

Original Issue Date

10/08/1982

Effective Date

10/08/1982

Expiration Date

09/14/1984

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006