MICHAEL E DIEPERINK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036089200

License Status

NOT RENEWED

Business

First Name

MICHAEL E

Last Name

DIEPERINK

Suffix

Business Name

MICHAEL E DIEPERINK MD

Original Issue Date

07/26/1994

Effective Date

07/26/1994

Expiration Date

07/31/1996

City

CHICAGO

State

Zip

60610

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006