THOMAS PAUL DOVIDIO II DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125047477

License Status

EXPIRED

Business

First Name

THOMAS

Middle

PAUL

Last Name

DOVIDIO

Suffix

II DO

Business Name

THOMAS PAUL DOVIDIO II DO

Original Issue Date

06/28/2004

Effective Date

06/28/2004

Expiration Date

06/27/2007

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

07/03/2007