BRENDA J DINTIMAN Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130000120

License Status

EXPIRED

Business

First Name

BRENDA

Middle

Last Name

DINTIMAN

Business Name

BRENDA J DINTIMAN

Original Issue Date

08/11/1989

Effective Date

08/11/1989

Expiration Date

11/04/1989

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

05/19/2015