SYDNEY ELIZABETH DAUTEL MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125076749

License Status

CANCELLED

Business

Title

First Name

SYDNEY

Middle

ELIZABETH

Last Name

DAUTEL

Business Name

SYDNEY ELIZABETH DAUTEL MD

Original Issue Date

06/24/2020

Effective Date

06/24/2020

Expiration Date

06/23/2023

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Obstetrics and Gynecology

Ever Disciplined

LastModifiedDate

04/01/2020