MICHAEL DALE ECKHARDT MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125062759

License Status

CANCELLED

Business

Title

First Name

MICHAEL

Middle

DALE

Last Name

ECKHARDT

Business Name

MICHAEL DALE ECKHARDT MD

Original Issue Date

06/24/2013

Effective Date

06/24/2013

Expiration Date

06/23/2016

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Pathology

Ever Disciplined

LastModifiedDate

03/24/2014