SARAH MARIE EICKMEYER MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125052792

License Status

EXPIRED

Business

First Name

SARAH

Middle

MARIE

Last Name

EICKMEYER

Suffix

Business Name

SARAH MARIE EICKMEYER MD

Original Issue Date

06/18/2010

Effective Date

06/18/2010

Expiration Date

06/17/2011

City

CHICAGO

State

Zip

60611

Specialty/Qualifier

Physical Medicine & Rehabilitation

Ever Disciplined

LastModifiedDate

07/19/2011