DANNY DWAYNE TUDOR MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125071368

License Status

EXPIRED

Business

Title

First Name

DANNY

Middle

DWAYNE

Last Name

TUDOR

Business Name

DANNY DWAYNE TUDOR MD

Original Issue Date

07/01/2017

Effective Date

07/01/2017

Expiration Date

06/30/2020

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

11/19/2020