REBECCA CARLSON DUNPHY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036106432

License Status

NOT RENEWED

Business

First Name

REBECCA

Middle

CARLSON

Last Name

DUNPHY

Suffix

Business Name

REBECCA CARLSON DUNPHY MD

Original Issue Date

03/06/2002

Effective Date

03/06/2002

Expiration Date

07/31/2005

City

OAK PARK

State

Zip

60304

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006