DOMINIKA LORRAINE SEIDMAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125056801

License Status

EXPIRED

Business

First Name

DOMINIKA

Middle

LORRAINE

Last Name

SEIDMAN

Suffix

Business Name

DOMINIKA LORRAINE SEIDMAN MD

Original Issue Date

06/23/2012

Effective Date

06/23/2012

Expiration Date

06/22/2013

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Obstetrics and Gynecology

Ever Disciplined

LastModifiedDate

10/07/2013