DEBORAH A DEHERTOGH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036057635

License Status

NOT RENEWED

Business

First Name

DEBORAH A

Last Name

DEHERTOGH

Suffix

Business Name

DEBORAH A DEHERTOGH MD

Original Issue Date

09/25/1978

Effective Date

09/25/1978

Expiration Date

07/31/1984

City

CHICAGO

State

Zip

60615

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006