THOMAS B DESTEFANI MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125013271

License Status

EXPIRED

Business

First Name

THOMAS B

Last Name

DESTEFANI

Suffix

Business Name

THOMAS B DESTEFANI MD

Original Issue Date

07/14/1981

Effective Date

07/14/1981

Expiration Date

07/01/1983

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006