FRANK W DELAURENTIS Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036101620

License Status

NOT RENEWED

Business

First Name

FRANK

Middle

Last Name

DELAURENTIS

Business Name

FRANK W DELAURENTIS

Original Issue Date

11/17/1999

Effective Date

05/07/2014

Expiration Date

07/31/2017

City

ORLAND PARK

State

Zip

60467

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017