KATHRYN A DIELENTHEIS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125061200

License Status

EXPIRED

Business

First Name

KATHRYN

Middle

Last Name

DIELENTHEIS

Suffix

Business Name

KATHRYN A DIELENTHEIS MD

Original Issue Date

06/23/2015

Effective Date

06/23/2015

Expiration Date

06/22/2016

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Obstetrics and Gynecology

Ever Disciplined

LastModifiedDate

08/16/2016