OLE DIERKS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125038810

License Status

EXPIRED

Business

First Name

OLE

Last Name

DIERKS

Suffix

Business Name

OLE DIERKS MD

Original Issue Date

08/10/1998

Effective Date

08/10/1998

Expiration Date

08/31/2001

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

07/12/2007