ERIK N DELUE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036111110

License Status

NOT RENEWED

Business

First Name

ERIK

Middle

Last Name

DELUE

Suffix

Business Name

ERIK N DELUE MD

Original Issue Date

03/30/2004

Effective Date

03/30/2004

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60615

County

COOK

Ever Disciplined

LastModifiedDate

06/26/2007