MARTIN JOHANN ANETSEDER Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125035484

License Status

CANCELLED

Business

First Name

MARTIN JOHANN

Last Name

ANETSEDER

Business Name

MARTIN JOHANN ANETSEDER

Original Issue Date

07/31/1996

Effective Date

07/31/1996

Expiration Date

08/31/1999

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

09/22/2006