ULRICH DIEKAMP MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036045196

License Status

NOT RENEWED

Business

First Name

ULRICH

Last Name

DIEKAMP

Suffix

Business Name

ULRICH DIEKAMP MD

Original Issue Date

02/04/1972

Effective Date

02/04/1972

Expiration Date

07/31/1987

City

CHICAGO

State

Zip

60660

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006