MICHAEL EGGERSTEDT MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125068218

License Status

CANCELLED

Business

Title

First Name

MICHAEL

Last Name

EGGERSTEDT

Business Name

MICHAEL EGGERSTEDT MD

Original Issue Date

07/01/2019

Effective Date

07/01/2019

Expiration Date

06/30/2021

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Otolaryngology

Ever Disciplined

LastModifiedDate

05/22/2019