PAUL L DESANDRE DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125020733

License Status

EXPIRED

Business

First Name

PAUL L

Last Name

DESANDRE

Suffix

Business Name

PAUL L DESANDRE DO

Original Issue Date

05/08/1987

Effective Date

05/08/1987

Expiration Date

07/01/1990

City

CHICAGO

State

Zip

60615

County

COOK

Specialty/Qualifier

Family Practice & OMT

Ever Disciplined

LastModifiedDate

09/22/2006