RICHARD B DEVEREUX MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING PHYSICIAN PERMIT

License Number

106000205

License Status

EXPIRED

Business

First Name

RICHARD

Middle

Last Name

DEVEREUX

Suffix

Business Name

RICHARD B DEVEREUX MD

Original Issue Date

07/13/2023

Effective Date

07/13/2023

Expiration Date

01/12/2024

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

01/08/2025