ETHAN MACKENZIE SZPARA DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125073981

License Status

CANCELLED

Business

Title

First Name

ETHAN

Middle

MACKENZIE

Last Name

SZPARA

Business Name

ETHAN MACKENZIE SZPARA DO

Original Issue Date

07/01/2019

Effective Date

07/01/2019

Expiration Date

06/30/2022

City

HINSDALE

State

Zip

60521

County

DUPAGE

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

05/14/2019