SOPHIA DITTRICH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125086169

License Status

ACTIVE

Business

Title

First Name

SOPHIA

Last Name

DITTRICH

Business Name

SOPHIA DITTRICH MD

Original Issue Date

06/22/2025

Effective Date

06/22/2025

Expiration Date

06/21/2028

City

MAYWOOD, IL

State

Zip

60153

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

05/21/2025