ETHAN JAFFE SILVERMAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036150805

License Status

NOT RENEWED

Business

Title

First Name

ETHAN

Middle

JAFFE

Last Name

SILVERMAN

Business Name

ETHAN JAFFE SILVERMAN MD

Original Issue Date

09/20/2019

Effective Date

09/20/2019

Expiration Date

09/30/2020

City

MADISON

State

Zip

53703

Ever Disciplined

LastModifiedDate

01/14/2021