BRIAN JOSHUA ZIDER MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125064526

License Status

CANCELLED

Business

Title

First Name

BRIAN

Middle

JOSHUA

Last Name

ZIDER

Business Name

BRIAN JOSHUA ZIDER MD

Original Issue Date

06/24/2017

Effective Date

06/24/2017

Expiration Date

06/23/2018

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

02/10/2017