MARC A DORFMAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125026859

License Status

EXPIRED

Business

First Name

MARC A

Last Name

DORFMAN

Suffix

Business Name

MARC A DORFMAN MD

Original Issue Date

05/22/1991

Effective Date

05/22/1991

Expiration Date

06/22/1994

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006