MATTHEW MARC EISENSTEIN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125017136

License Status

EXPIRED

Business

Title

First Name

MATTHEW

Middle

MARC

Last Name

EISENSTEIN

Business Name

MATTHEW MARC EISENSTEIN MD

Original Issue Date

06/22/1984

Effective Date

06/22/1984

Expiration Date

07/01/1986

City

CHICAGO

State

Zip

60616

County

COOK

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

09/22/2006