CHRISTOPHER BRUCE EBERSOLE Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125052738

License Status

EXPIRED

Business

First Name

CHRISTOPHER

Middle

BRUCE

Last Name

EBERSOLE

Business Name

CHRISTOPHER BRUCE EBERSOLE

Original Issue Date

07/01/2010

Effective Date

07/01/2010

Expiration Date

06/30/2012

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

08/29/2012