DAVID CZUKERBERG Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125033236

License Status

EXPIRED

Business

First Name

DAVID

Last Name

CZUKERBERG

Business Name

DAVID CZUKERBERG

Original Issue Date

06/08/1995

Effective Date

06/08/1995

Expiration Date

06/30/1998

City

CHICAGO

State

Zip

60608

County

COOK

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

09/22/2006