MICHELLE KATHLEEN DYRHOLM DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125070394

License Status

EXPIRED

Business

Title

First Name

MICHELLE

Middle

KATHLEEN

Last Name

DYRHOLM

Business Name

MICHELLE KATHLEEN DYRHOLM DO

Original Issue Date

06/22/2017

Effective Date

06/22/2017

Expiration Date

06/21/2018

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

10/25/2018