JULIE AMY EISENBERG MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125069591

License Status

CANCELLED

Business

Title

First Name

JULIE

Middle

AMY

Last Name

EISENBERG

Business Name

JULIE AMY EISENBERG MD

Original Issue Date

07/01/2016

Effective Date

07/01/2016

Expiration Date

06/30/2019

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

06/22/2016