TIMOTHY C DY Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125028805

License Status

EXPIRED

Business

First Name

TIMOTHY C

Last Name

Business Name

TIMOTHY C DY

Original Issue Date

06/22/1992

Effective Date

06/22/1992

Expiration Date

06/24/1995

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006