ERIC D LADENHEIM MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125020182

License Status

EXPIRED

Business

First Name

ERIC D

Last Name

LADENHEIM

Suffix

Business Name

ERIC D LADENHEIM MD

Original Issue Date

07/30/1986

Effective Date

07/30/1986

Expiration Date

07/01/1989

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

09/22/2006