HERLIANI DWI PUTRI HALIM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125081802

License Status

ACTIVE

Business

Title

First Name

HERLIANI

Middle

DWI PUTRI

Last Name

HALIM

Business Name

HERLIANI DWI PUTRI HALIM MD

Original Issue Date

09/09/2025

Effective Date

09/09/2025

Expiration Date

06/30/2026

City

EVANSTON

State

Zip

60202

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/10/2025