ERIC EISENBERG MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036077822

License Status

INACTIVE

Business

First Name

ERIC

Last Name

EISENBERG

Suffix

Business Name

ERIC EISENBERG MD

Original Issue Date

09/07/1988

Effective Date

09/07/1988

Expiration Date

07/31/1990

City

BELOIT

State

Zip

53511

Ever Disciplined

LastModifiedDate

09/20/2006