JOHN ADAM DIETRICK MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125015366

License Status

EXPIRED

Business

First Name

JOHN

Middle

ADAM

Last Name

DIETRICK

Suffix

Business Name

JOHN ADAM DIETRICK MD

Original Issue Date

06/15/1983

Effective Date

06/15/1983

Expiration Date

07/01/1985

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

09/22/2006