IVY J DREIZIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036052188

License Status

NOT RENEWED

Business

First Name

IVY J

Last Name

DREIZIN

Suffix

Business Name

IVY J DREIZIN MD

Original Issue Date

12/03/1975

Effective Date

12/03/1975

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006