DAWN ELIZABETH DEIKE DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125071631

License Status

EXPIRED

Business

Title

First Name

DAWN

Middle

ELIZABETH

Last Name

DEIKE

Business Name

DAWN ELIZABETH DEIKE DO

Original Issue Date

07/01/2018

Effective Date

07/01/2018

Expiration Date

06/30/2020

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Pediatric Rehabilitation

Ever Disciplined

LastModifiedDate

11/19/2020