JEAN-LUC DELAFONTAINE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036151962

License Status

NOT RENEWED

Business

Title

First Name

JEAN-LUC

Last Name

DELAFONTAINE

Business Name

JEAN-LUC DELAFONTAINE MD

Original Issue Date

02/27/2020

Effective Date

08/27/2020

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

71103

Ever Disciplined

LastModifiedDate

11/30/2023