DAVID MICHAEL DIBARDINO MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125058686

License Status

CANCELLED

Business

Title

First Name

DAVID

Middle

MICHAEL

Last Name

DIBARDINO

Business Name

DAVID MICHAEL DIBARDINO MD

Original Issue Date

06/23/2010

Effective Date

06/23/2010

Expiration Date

06/22/2013

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

06/11/2010