PAUL L DESANDRE DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036078446

License Status

NOT RENEWED

Business

First Name

PAUL L

Last Name

DESANDRE

Suffix

Business Name

PAUL L DESANDRE DO

Original Issue Date

02/17/1989

Effective Date

02/17/1989

Expiration Date

07/31/1996

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

04/26/2010