BETH ANNE DAMITZ Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125034674

License Status

EXPIRED

Business

First Name

BETH ANNE

Last Name

DAMITZ

Business Name

BETH ANNE DAMITZ

Original Issue Date

05/23/1996

Effective Date

05/23/1996

Expiration Date

06/30/1997

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

09/22/2006