MICHAEL T DIMENT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****02

License Status

NOT RENEWED

Business

First Name

MICHAEL T

Last Name

DIMENT

Suffix

Business Name

MICHAEL T DIMENT MD

Original Issue Date

03/08/1988

Effective Date

03/08/1988

Expiration Date

07/31/1993

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006