DAVID C DRIES Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125028535

License Status

EXPIRED

Business

First Name

DAVID

Middle

Last Name

DRIES

Business Name

DAVID C DRIES

Original Issue Date

06/02/1992

Effective Date

06/02/1992

Expiration Date

06/23/1996

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Ophthalmology

Ever Disciplined

LastModifiedDate

09/22/2006