AMY CHRISTINE EISENBERG DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125076895

License Status

CANCELLED

Business

Title

First Name

AMY

Middle

CHRISTINE

Last Name

EISENBERG

Business Name

AMY CHRISTINE EISENBERG DO

Original Issue Date

07/01/2020

Effective Date

07/01/2020

Expiration Date

06/30/2023

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine/Emergency Medicine

Ever Disciplined

LastModifiedDate

04/17/2020