ITAI MAX PASHTAN Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125054409

License Status

EXPIRED

Business

First Name

ITAI

Middle

MAX

Last Name

PASHTAN

Business Name

ITAI MAX PASHTAN

Original Issue Date

06/24/2008

Effective Date

06/24/2008

Expiration Date

06/23/2009

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

07/15/2009