JOE DONALD EGGEBEEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****54

License Status

NOT RENEWED

Business

First Name

JOE DONALD

Last Name

EGGEBEEN

Suffix

Business Name

JOE DONALD EGGEBEEN MD

Original Issue Date

09/23/1993

Effective Date

07/11/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60617

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020