JON ANDREW DYKENS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125048763

License Status

EXPIRED

Business

First Name

JON

Middle

ANDREW

Last Name

DYKENS

Suffix

Business Name

JON ANDREW DYKENS MD

Original Issue Date

07/19/2004

Effective Date

07/19/2004

Expiration Date

07/18/2007

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

07/25/2007