JASON LEE DICKHERBER MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125068748

License Status

EXPIRED

Business

Title

First Name

JASON

Middle

LEE

Last Name

DICKHERBER

Business Name

JASON LEE DICKHERBER MD

Original Issue Date

06/24/2019

Effective Date

06/24/2019

Expiration Date

06/23/2021

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Orthopaedic Surgery

Ever Disciplined

LastModifiedDate

01/23/2019