CHARLES F EISENBEIS Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125034927

License Status

EXPIRED

Business

First Name

CHARLES

Middle

Last Name

EISENBEIS

Business Name

CHARLES F EISENBEIS

Original Issue Date

06/08/1996

Effective Date

06/08/1996

Expiration Date

06/23/1999

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Hematology & Oncology

Ever Disciplined

LastModifiedDate

09/22/2006