MARLENE E DIETRICH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036070043

License Status

NOT RENEWED

Business

First Name

MARLENE E

Last Name

DIETRICH

Suffix

Business Name

MARLENE E DIETRICH MD

Original Issue Date

01/16/1985

Effective Date

01/16/1985

Expiration Date

07/31/1990

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006