ELLEN J DEHM MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125025461

License Status

EXPIRED

Business

First Name

ELLEN J

Last Name

DEHM

Suffix

Business Name

ELLEN J DEHM MD

Original Issue Date

06/14/1990

Effective Date

06/14/1990

Expiration Date

06/30/1993

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Ophthalmology

Ever Disciplined

LastModifiedDate

09/22/2006