JUDITH ANN DATTARO MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125028407

License Status

EXPIRED

Business

First Name

JUDITH ANN

Last Name

DATTARO

Suffix

Business Name

JUDITH ANN DATTARO MD

Original Issue Date

05/29/1992

Effective Date

05/29/1992

Expiration Date

06/30/1995

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

09/22/2006