MARSHALL LEWIS DINES MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036137850

License Status

ACTIVE

Business

Title

First Name

MARSHALL

Middle

LEWIS

Last Name

DINES

Business Name

MARSHALL LEWIS DINES MD

Original Issue Date

04/23/2015

Effective Date

04/14/2023

Expiration Date

07/31/2026

City

PARK RIDGE

State

Zip

60068

County

COOK

Ever Disciplined

LastModifiedDate

12/10/2024