ANN DECLUE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036073550

License Status

NOT RENEWED

Business

Title

First Name

ANN

Last Name

DECLUE

Business Name

ANN DECLUE MD

Original Issue Date

08/19/1986

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

GLENVIEW

State

Zip

60025

County

COOK

Ever Disciplined

LastModifiedDate

10/31/2019