HERBERT C EIDT MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130000579

License Status

EXPIRED

Business

First Name

HERBERT

Middle

Last Name

EIDT

Suffix

Business Name

HERBERT C EIDT MD

Original Issue Date

01/09/2003

Effective Date

01/09/2003

Expiration Date

04/08/2003

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Orthopaedic Surgery

Ever Disciplined

LastModifiedDate

09/25/2006