ELISABETH A V DESAPEREIRA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036049974

License Status

NOT RENEWED

Business

First Name

ELISABETH A V

Last Name

DESAPEREIRA

Suffix

Business Name

ELISABETH A V DESAPEREIRA MD

Original Issue Date

10/10/1974

Effective Date

09/17/2020

Expiration Date

07/31/2023

City

WAUKEGAN

State

Zip

60085

County

LAKE

Ever Disciplined

LastModifiedDate

11/30/2023

Case Number

2023005946

Action

Suspension

Discipline Start Date

08/28/2023

Discipline Reason

Failure to file and/or pay Illinois state income taxes.