TODD ANTHONY DODICK MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125060899

License Status

EXPIRED

Business

Title

First Name

TODD

Middle

ANTHONY

Last Name

DODICK

Business Name

TODD ANTHONY DODICK 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

Anesthesiology

Ever Disciplined

LastModifiedDate

08/16/2016