THOMAS B DESTEFANI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036067872

License Status

ACTIVE

Business

First Name

THOMAS B

Last Name

DESTEFANI

Suffix

Business Name

THOMAS B DESTEFANI MD

Original Issue Date

10/26/1983

Effective Date

06/12/2023

Expiration Date

07/31/2026

City

GLEN ELLYN

State

Zip

60137

County

DUPAGE

Ever Disciplined

LastModifiedDate

06/12/2023