DIMA DANDACHI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****49

License Status

NOT RENEWED

Business

Title

First Name

DIMA

Last Name

DANDACHI

Business Name

DIMA DANDACHI MD

Original Issue Date

06/29/2015

Effective Date

06/29/2015

Expiration Date

07/31/2017

City

EVANSTON

State

Zip

60202

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017