NILS AUGUST EASTBURG MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125082277

License Status

CANCELLED

Business

Title

First Name

NILS

Middle

AUGUST

Last Name

EASTBURG

Business Name

NILS AUGUST EASTBURG MD

Original Issue Date

07/01/2023

Effective Date

07/01/2023

Expiration Date

06/30/2026

City

CHICAGO

State

Zip

60623

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

02/17/2026