DITTE PRIMDAHL MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125081051

License Status

CANCELLED

Business

Title

First Name

DITTE

Last Name

PRIMDAHL

Business Name

DITTE PRIMDAHL MD

Original Issue Date

07/01/2022

Effective Date

07/01/2022

Expiration Date

06/30/2024

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Neuro-Oncology

Ever Disciplined

LastModifiedDate

02/23/2023