TERRY W DU CLOS Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125012347

License Status

EXPIRED

Business

First Name

TERRY

Middle

Last Name

DU CLOS

Business Name

TERRY W DU CLOS

Original Issue Date

05/26/1981

Effective Date

05/26/1981

Expiration Date

06/24/1983

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006