ITAMAR ASHKENAZI MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125047909

License Status

EXPIRED

Business

First Name

ITAMAR

Last Name

ASHKENAZI

Suffix

Business Name

ITAMAR ASHKENAZI MD

Original Issue Date

08/01/2004

Effective Date

08/01/2004

Expiration Date

07/31/2007

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Surgical Oncology

Ever Disciplined

LastModifiedDate

08/29/2007