JODIE PEARL DVORKIN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125051200

License Status

CANCELLED

Business

First Name

JODIE

Middle

PEARL

Last Name

DVORKIN

Suffix

Business Name

JODIE PEARL DVORKIN MD

Original Issue Date

06/24/2009

Effective Date

06/24/2009

Expiration Date

06/23/2010

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Internal Medicine/Pediatrics

Ever Disciplined

LastModifiedDate

04/22/2009