ALEX C DEJONG DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036051143

License Status

NOT RENEWED

Business

First Name

ALEX C

Last Name

DEJONG

Suffix

Business Name

ALEX C DEJONG DO

Original Issue Date

07/10/1975

Effective Date

06/26/2017

Expiration Date

09/30/2020

City

ORLAND PARK

State

Zip

60462

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021