ERIC D KODISH MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125019621

License Status

EXPIRED

Business

First Name

ERIC D

Last Name

KODISH

Suffix

Business Name

ERIC D KODISH MD

Original Issue Date

06/19/1986

Effective Date

06/19/1986

Expiration Date

06/24/1989

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006