DANE M INGEBRIGTSON MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130001066

License Status

EXPIRED

Business

Title

First Name

DANE

Middle

Last Name

INGEBRIGTSON

Business Name

DANE M INGEBRIGTSON MD

Original Issue Date

07/15/2015

Effective Date

07/15/2015

Expiration Date

01/14/2016

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

06/10/2016