SIDDHARTHA A DANTE MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125060812

License Status

CANCELLED

Business

Title

First Name

SIDDHARTHA

Middle

Last Name

DANTE

Business Name

SIDDHARTHA A DANTE MD

Original Issue Date

06/24/2015

Effective Date

06/24/2015

Expiration Date

06/23/2016

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Internal Medicine/Pediatrics

Ever Disciplined

LastModifiedDate

02/25/2015