DAVID JOHN DORMANDY JR DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125067475

License Status

CANCELLED

Business

Title

First Name

DAVID

Middle

JOHN

Last Name

DORMANDY

Suffix

Business Name

DAVID JOHN DORMANDY JR DO

Original Issue Date

07/01/2015

Effective Date

07/01/2015

Expiration Date

06/30/2018

City

CHICAGO

State

Zip

60631

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

06/08/2015