DEVON MARIE DIVITO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036173909

License Status

ACTIVE

Business

Title

First Name

DEVON

Middle

MARIE

Last Name

DIVITO

Business Name

DEVON MARIE DIVITO MD

Original Issue Date

02/27/2025

Effective Date

02/27/2025

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

County

ADAMS

Ever Disciplined

LastModifiedDate

02/27/2025