MANUEL J D DIZON DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125022529

License Status

EXPIRED

Business

First Name

MANUEL J D

Last Name

DIZON

Suffix

Business Name

MANUEL J D DIZON DO

Original Issue Date

05/27/1988

Effective Date

05/27/1988

Expiration Date

07/01/1991

City

HINSDALE

State

Zip

60521

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006