DINI W HARTONO RADA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****79

License Status

NOT RENEWED

Business

First Name

DINI W HARTONO

Last Name

RADA

Suffix

Business Name

DINI W HARTONO RADA MD

Original Issue Date

08/24/1984

Effective Date

08/24/1984

Expiration Date

07/31/1987

City

CHICAGO

State

Zip

60622

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006