JUDITH O DISTERHOFT MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036159212

License Status

ACTIVE

Business

Title

First Name

JUDITH

Middle

Last Name

DISTERHOFT

Business Name

JUDITH O DISTERHOFT MD

Original Issue Date

01/19/2022

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

OAK PARK

State

Zip

60302

County

COOK

Ever Disciplined

LastModifiedDate

07/25/2024