JAMES MATTHEW DOLEZAL MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125072308

License Status

CANCELLED

Business

Title

First Name

JAMES

Middle

MATTHEW

Last Name

DOLEZAL

Business Name

JAMES MATTHEW DOLEZAL MD

Original Issue Date

07/01/2021

Effective Date

07/01/2021

Expiration Date

06/30/2023

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Hematology and Oncology

Ever Disciplined

LastModifiedDate

03/24/2021