DISSAJEE LUMBIGANON MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125064238

License Status

CANCELLED

Business

Title

First Name

DISSAJEE

Last Name

LUMBIGANON

Business Name

DISSAJEE LUMBIGANON MD

Original Issue Date

09/16/2013

Effective Date

09/16/2013

Expiration Date

09/15/2015

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

03/24/2014