ROBERT SEAN DIETER MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125035574

License Status

CANCELLED

Business

First Name

ROBERT

Middle

SEAN

Last Name

DIETER

Suffix

Business Name

ROBERT SEAN DIETER MD

Original Issue Date

11/25/1996

Effective Date

11/25/1996

Expiration Date

12/31/2000

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

02/19/2010