PATRICK TOMIYAMA DOLAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130001175

License Status

EXPIRED

Business

Title

First Name

PATRICK

Middle

TOMIYAMA

Last Name

DOLAN

Business Name

PATRICK TOMIYAMA DOLAN MD

Original Issue Date

08/08/2017

Effective Date

08/08/2017

Expiration Date

10/07/2017

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Physical Medicine and Rehabilitation

Ever Disciplined

LastModifiedDate

01/04/2018