DIRK O WALES MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125021858

License Status

EXPIRED

Business

First Name

DIRK O

Last Name

WALES

Suffix

Business Name

DIRK O WALES MD

Original Issue Date

05/04/1988

Effective Date

05/04/1988

Expiration Date

06/22/1991

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006