IRA BIRNBAUM MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125023864

License Status

EXPIRED

Business

First Name

IRA

Last Name

BIRNBAUM

Suffix

Business Name

IRA BIRNBAUM MD

Original Issue Date

05/19/1989

Effective Date

05/19/1989

Expiration Date

07/01/1992

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006