LORELEI ELIZABETH DITOMMASO MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125067152

License Status

EXPIRED

Business

Title

First Name

LORELEI

Middle

ELIZABETH

Last Name

DITOMMASO

Business Name

LORELEI ELIZABETH DITOMMASO MD

Original Issue Date

07/01/2018

Effective Date

07/01/2018

Expiration Date

06/30/2019

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Dermatology

Ever Disciplined

LastModifiedDate

10/02/2019