JEROME I DICKSTEIN Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125019390

License Status

EXPIRED

Business

First Name

JEROME I

Last Name

DICKSTEIN

Business Name

JEROME I DICKSTEIN

Original Issue Date

06/12/1986

Effective Date

06/12/1986

Expiration Date

06/25/1989

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Pathology

Ever Disciplined

LastModifiedDate

09/22/2006