J ANTONIO V DIZON MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125025983

License Status

EXPIRED

Business

First Name

J ANTONIO

Middle

Last Name

DIZON

Suffix

Business Name

J ANTONIO V DIZON MD

Original Issue Date

08/02/1990

Effective Date

08/02/1990

Expiration Date

07/04/1993

City

FOREST PARK

State

Zip

60130

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006