THANE FELDEISEN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130001568

License Status

EXPIRED

Business

Title

First Name

THANE

Last Name

FELDEISEN

Business Name

THANE FELDEISEN MD

Original Issue Date

11/20/2023

Effective Date

11/20/2023

Expiration Date

05/19/2024

City

CHICAGO

State

Zip

60611

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

01/08/2025