GRACE A DZIDO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036110067

License Status

ACTIVE

Business

First Name

GRACE

Middle

Last Name

DZIDO

Business Name

GRACE A DZIDO

Original Issue Date

09/08/2003

Effective Date

04/15/2023

Expiration Date

07/31/2026

City

LOMBARD

State

Zip

60148

County

DUPAGE

Ever Disciplined

LastModifiedDate

04/15/2023