ALBERT L DEROSE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036076609

License Status

NOT RENEWED

Business

First Name

ALBERT L

Last Name

DEROSE

Suffix

Business Name

ALBERT L DEROSE MD

Original Issue Date

01/20/1988

Effective Date

01/20/1988

Expiration Date

07/31/1999

City

GLEN ELLYN

State

Zip

60137

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/20/2006