JACOB JUSTIN DIMA DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125058844

License Status

EXPIRED

Business

Title

First Name

JACOB

Middle

JUSTIN

Last Name

DIMA

Business Name

JACOB JUSTIN DIMA DO

Original Issue Date

06/22/2010

Effective Date

06/22/2010

Expiration Date

06/21/2013

City

BERWYN

State

Zip

60402

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

10/07/2013