JEROME I DICKSTEIN Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036076733

License Status

NOT RENEWED

Business

First Name

JEROME I

Last Name

DICKSTEIN

Business Name

JEROME I DICKSTEIN

Original Issue Date

02/26/1988

Effective Date

06/12/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60605

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021