CHRISTOPHER BRUCE EBERSOLE - Medical Doctor License in Illinois | # 125052738

CHRISTOPHER BRUCE EBERSOLE

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125052738

License Status

EXPIRED

Business

N

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

State

IL

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

N

LastModifiedDate

08/29/2012