MARLENE E DIETRICH MD - Medical Doctor License in Illinois | # 036070043

MARLENE E DIETRICH MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036070043

License Status

NOT RENEWED

Business

N

First Name

MARLENE E

Last Name

DIETRICH

Suffix

MD

Business Name

MARLENE E DIETRICH MD

Original Issue Date

01/16/1985

Effective Date

01/16/1985

Expiration Date

07/31/1990

State

IL

Ever Disciplined

N

LastModifiedDate

09/20/2006