DOUGLAS CHARLES DEDELOW DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036089133

License Status

NOT RENEWED

Business

First Name

DOUGLAS CHARLES

Last Name

DEDELOW

Suffix

Business Name

DOUGLAS CHARLES DEDELOW DO

Original Issue Date

07/25/1994

Effective Date

07/25/1994

Expiration Date

07/31/1999

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006