ALI DODGE Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125035556

License Status

EXPIRED

Business

First Name

ALI

Last Name

DODGE

Business Name

ALI DODGE

Original Issue Date

10/16/1996

Effective Date

10/16/1996

Expiration Date

12/10/1999

City

CHICAGO

State

Zip

60614

County

COOK

Specialty/Qualifier

Thoracic Surgery

Ever Disciplined

LastModifiedDate

09/22/2006