MICHAEL RAYMOND DANTZER MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125023884

License Status

EXPIRED

Business

First Name

MICHAEL RAYMOND

Last Name

DANTZER

Suffix

Business Name

MICHAEL RAYMOND DANTZER MD

Original Issue Date

05/19/1989

Effective Date

05/19/1989

Expiration Date

06/21/1992

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006