ETHAN R ETNYRE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125023471

License Status

EXPIRED

Business

First Name

ETHAN R

Last Name

ETNYRE

Suffix

Business Name

ETHAN R ETNYRE MD

Original Issue Date

05/02/1989

Effective Date

05/02/1989

Expiration Date

06/29/1992

City

BERWYN

State

Zip

60402

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006