MARA JEAN DINSMOOR 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

First Name

MARA

Middle

JEAN

Last Name

DINSMOOR

Suffix

Business Name

MARA JEAN DINSMOOR MD

Original Issue Date

12/05/2000

Effective Date

07/05/2023

Expiration Date

07/31/2026

City

WILMETTE

State

Zip

60091

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/05/2023