DI MA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036145675

License Status

ACTIVE

Business

Title

First Name

Last Name

Business Name

DI MA MD

Original Issue Date

04/09/2018

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

OAK LAWN

State

Zip

60453

County

COOK

Ever Disciplined

LastModifiedDate

04/07/2023