M LYNDON DIETER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****33

License Status

NOT RENEWED

Business

Title

First Name

Middle

LYNDON

Last Name

DIETER

Business Name

M LYNDON DIETER MD

Original Issue Date

10/14/2009

Effective Date

04/11/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60557

County

LA SALLE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/08/2014