DYLAN SAMUEL ISAACSON MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125073272

License Status

CANCELLED

Business

Title

First Name

DYLAN

Middle

SAMUEL

Last Name

ISAACSON

Business Name

DYLAN SAMUEL ISAACSON MD

Original Issue Date

06/30/2021

Effective Date

06/30/2021

Expiration Date

06/29/2024

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Urology

Ever Disciplined

LastModifiedDate

01/07/2021