MARY KATHRYN DIERKS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****64

License Status

ACTIVE

Business

Title

First Name

MARY

Middle

KATHRYN

Last Name

DIERKS

Business Name

MARY KATHRYN DIERKS MD

Original Issue Date

06/30/2025

Effective Date

06/30/2025

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/28/2025