DONALD G DICKEN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125022967

License Status

EXPIRED

Business

First Name

DONALD G

Last Name

DICKEN

Suffix

Business Name

DONALD G DICKEN MD

Original Issue Date

06/30/1988

Effective Date

06/30/1988

Expiration Date

07/01/1991

City

CHICAGO

State

Zip

60608

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006