IRENE DMITRUK DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125054866

License Status

CANCELLED

Business

Title

First Name

IRENE

Last Name

DMITRUK

Business Name

IRENE DMITRUK DO

Original Issue Date

11/01/2008

Effective Date

11/01/2008

Expiration Date

06/30/2011

City

CHICAGO

State

Zip

60616

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

10/29/2008