DINAH KATE HAMILTON THIBEAULT MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****96

License Status

ACTIVE

Business

Title

First Name

DINAH KATE

Middle

HAMILTON

Last Name

THIBEAULT

Business Name

DINAH KATE HAMILTON THIBEAULT MD

Original Issue Date

05/26/2020

Effective Date

06/01/2023

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

06/01/2023