JULIE THOMAS KIDANGAN DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036132458

License Status

NOT RENEWED

Business

Title

First Name

JULIE

Middle

THOMAS

Last Name

KIDANGAN

Business Name

JULIE THOMAS KIDANGAN DO

Original Issue Date

04/15/2013

Effective Date

04/15/2013

Expiration Date

07/31/2014

City

DES PLAINES

State

Zip

60016

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014