JUDITH O DISTERHOFT MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125063795

License Status

EXPIRED

Business

Title

First Name

JUDITH

Middle

Last Name

DISTERHOFT

Business Name

JUDITH O DISTERHOFT MD

Original Issue Date

07/01/2013

Effective Date

07/01/2013

Expiration Date

06/30/2016

City

OAK PARK

State

Zip

60302

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

08/16/2016