ETHAN ALEXANDER TAUB DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125054784

License Status

EXPIRED

Business

Title

First Name

ETHAN

Middle

ALEXANDER

Last Name

TAUB

Business Name

ETHAN ALEXANDER TAUB DO

Original Issue Date

07/01/2011

Effective Date

07/01/2011

Expiration Date

06/30/2013

City

CHICAGO

State

Zip

60608

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

10/07/2013