WILLIAM JACOB DIETER DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125086179

License Status

ACTIVE

Business

Title

First Name

WILLIAM

Middle

JACOB

Last Name

DIETER

Business Name

WILLIAM JACOB DIETER DO

Original Issue Date

07/01/2025

Effective Date

07/01/2025

Expiration Date

06/30/2028

City

CHICAGO

State

Zip

60612

Specialty/Qualifier

Radiation Oncology

Ever Disciplined

LastModifiedDate

06/02/2025