MARY KATHRYN DIERKS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125076998

License Status

EXPIRED

Business

Title

First Name

MARY

Middle

KATHRYN

Last Name

DIERKS

Business Name

MARY KATHRYN DIERKS MD

Original Issue Date

06/24/2023

Effective Date

06/24/2023

Expiration Date

06/23/2024

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

10/30/2024