BERNICE ROSE DELINE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036066932

License Status

NOT RENEWED

Business

First Name

BERNICE ROSE

Last Name

DELINE

Suffix

Business Name

BERNICE ROSE DELINE MD

Original Issue Date

07/15/1983

Effective Date

07/15/1983

Expiration Date

07/31/1987

City

VERNON HILLS

State

Zip

60061

County

LAKE

Ever Disciplined

LastModifiedDate

09/20/2006