DAVID THEODORE GREENWALD MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125065851

License Status

CANCELLED

Business

Title

First Name

DAVID

Middle

THEODORE

Last Name

GREENWALD

Business Name

DAVID THEODORE GREENWALD MD

Original Issue Date

06/24/2016

Effective Date

06/24/2016

Expiration Date

06/23/2017

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Urology

Ever Disciplined

LastModifiedDate

04/07/2016