AHMAD DIB DUDAR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130001061

License Status

NOT RENEWED

Business

Title

First Name

AHMAD

Middle

DIB

Last Name

DUDAR

Business Name

AHMAD DIB DUDAR MD

Original Issue Date

08/04/2015

Effective Date

08/04/2015

Expiration Date

09/03/2015

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

01/07/2016