DALE M CARRISON DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125022509

License Status

EXPIRED

Business

First Name

DALE M

Last Name

CARRISON

Suffix

Business Name

DALE M CARRISON DO

Original Issue Date

05/27/1988

Effective Date

05/27/1988

Expiration Date

07/01/1991

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

09/22/2006