ERIC S GAENSLEN Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125023905

License Status

EXPIRED

Business

First Name

ERIC

Middle

Last Name

GAENSLEN

Business Name

ERIC S GAENSLEN

Original Issue Date

05/22/1989

Effective Date

05/22/1989

Expiration Date

06/30/1992

City

CHICAGO

State

Zip

60616

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

09/22/2006