S DAVID DEMOREST MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036067738

License Status

NOT RENEWED

Business

First Name

Middle

DAVID

Last Name

DEMOREST

Suffix

Business Name

S DAVID DEMOREST MD

Original Issue Date

10/07/1983

Effective Date

06/21/2017

Expiration Date

09/30/2020

City

MELROSE PARK

State

Zip

60160

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021

Case Number

2010003611

Action

Permanent Inactive

Discipline Start Date

05/22/2020

Discipline Reason

license restored to permanent inactive status.