REDIAT EPHREM DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125086452

License Status

ACTIVE

Business

Title

First Name

REDIAT

Last Name

EPHREM

Business Name

REDIAT EPHREM DO

Original Issue Date

06/24/2025

Effective Date

06/24/2025

Expiration Date

06/23/2028

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

06/09/2025