DHARA MING MAC DERMED MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125048997

License Status

EXPIRED

Business

First Name

DHARA

Middle

MING

Last Name

MAC DERMED

Suffix

Business Name

DHARA MING MAC DERMED MD

Original Issue Date

07/01/2008

Effective Date

07/01/2008

Expiration Date

06/30/2009

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Radiation Oncology

Ever Disciplined

LastModifiedDate

07/15/2009