MICHAEL J DESTEFANO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036045818

License Status

NOT RENEWED

Business

First Name

MICHAEL J

Last Name

DESTEFANO

Suffix

Business Name

MICHAEL J DESTEFANO MD

Original Issue Date

07/31/1972

Effective Date

07/31/1972

City

FOREST PARK

State

Zip

60130

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006