DEIADRA JANINE GARRETT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036114195

License Status

NOT RENEWED

Business

First Name

DEIADRA

Middle

JANINE

Last Name

GARRETT

Suffix

Business Name

DEIADRA JANINE GARRETT MD

Original Issue Date

07/15/2005

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60610

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2011