MARY P DEA DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036095029

License Status

ACTIVE

Business

First Name

MARY P

Last Name

DEA

Suffix

Business Name

MARY P DEA DO

Original Issue Date

03/13/1997

Effective Date

05/02/2023

Expiration Date

07/31/2026

City

LEMONT

State

Zip

60439

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2023