LISA A DYNAN-DOBBERTIEN DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125021848

License Status

EXPIRED

Business

First Name

LISA A

Last Name

DYNAN-DOBBERTIEN

Suffix

Business Name

LISA A DYNAN-DOBBERTIEN DO

Original Issue Date

05/04/1988

Effective Date

05/04/1988

Expiration Date

07/01/1991

City

CHICAGO

State

Zip

60615

County

COOK

Specialty/Qualifier

Family Practice & OMT

Ever Disciplined

LastModifiedDate

09/22/2006