ETHAN MICHAEL ESTOOS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125071099

License Status

EXPIRED

Business

Title

First Name

ETHAN

Middle

MICHAEL

Last Name

ESTOOS

Business Name

ETHAN MICHAEL ESTOOS MD

Original Issue Date

06/26/2017

Effective Date

06/26/2017

Expiration Date

06/25/2020

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

11/19/2020