ETHAN IZU MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125087144

License Status

ACTIVE

Business

Title

First Name

ETHAN

Last Name

IZU

Business Name

ETHAN IZU MD

Original Issue Date

07/01/2026

Effective Date

07/01/2026

Expiration Date

06/30/2029

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Physical Medicine and Rehabilitation

Ever Disciplined

LastModifiedDate

03/13/2026