MARK A DOBBERTIEN Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125020944

License Status

EXPIRED

Business

First Name

MARK A

Last Name

DOBBERTIEN

Business Name

MARK A DOBBERTIEN

Original Issue Date

05/20/1987

Effective Date

05/20/1987

Expiration Date

07/01/1990

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

09/22/2006