ANDREA T DEYRUP Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036108347

License Status

NOT RENEWED

Business

First Name

ANDREA

Middle

Last Name

DEYRUP

Business Name

ANDREA T DEYRUP

Original Issue Date

12/23/2002

Effective Date

12/23/2002

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60615

County

COOK

Ever Disciplined

LastModifiedDate

05/18/2009