DAVID B MANDEL MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125048806

License Status

EXPIRED

Business

First Name

DAVID

Middle

Last Name

MANDEL

Suffix

Business Name

DAVID B MANDEL MD

Original Issue Date

09/01/2004

Effective Date

09/01/2004

Expiration Date

08/31/2006

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006