JOSE T DESIERTO MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036049480

License Status

INACTIVE

Business

First Name

JOSE T

Last Name

DESIERTO

Suffix

Business Name

JOSE T DESIERTO MD

Original Issue Date

08/28/1974

Effective Date

08/28/1974

Expiration Date

07/31/1993

City

CHICAGO

State

Zip

60613

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006