MARC STEVEN EISEMAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****82

License Status

NOT RENEWED

Business

First Name

MARC

Middle

STEVEN

Last Name

EISEMAN

Suffix

Business Name

MARC STEVEN EISEMAN MD

Original Issue Date

06/03/1998

Effective Date

06/03/1998

Expiration Date

07/31/1999

City

CHICAGO

State

Zip

60639

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006