MINDY J DICKERMAN Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125044313

License Status

EXPIRED

Business

First Name

MINDY

Middle

Last Name

DICKERMAN

Business Name

MINDY J DICKERMAN

Original Issue Date

06/17/2002

Effective Date

06/17/2002

Expiration Date

06/16/2005

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006