MERRIT MARION DEBARTOLO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036140512

License Status

ACTIVE

Business

Title

First Name

MERRIT

Middle

MARION

Last Name

DEBARTOLO

Business Name

MERRIT MARION DEBARTOLO MD

Original Issue Date

04/28/2016

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

WOODSTOCK

State

Zip

60098

County

MCHENRY

Ever Disciplined

LastModifiedDate

04/06/2023