GREGORY W DUQUELLA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036102627

License Status

NOT RENEWED

Business

First Name

GREGORY

Middle

Last Name

DUQUELLA

Suffix

Business Name

GREGORY W DUQUELLA MD

Original Issue Date

06/07/2000

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

OAK LAWN

State

Zip

60453

County

COOK

Ever Disciplined

LastModifiedDate

11/06/2008