JONATHAN A DALTON MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125035744

License Status

EXPIRED

Business

Title

First Name

JONATHAN

Middle

Last Name

DALTON

Business Name

JONATHAN A DALTON MD

Original Issue Date

05/01/1997

Effective Date

05/01/1997

Expiration Date

06/30/2001

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Dermatology

Ever Disciplined

LastModifiedDate

09/22/2006