JEFFREY A DE PERIO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125023585

License Status

EXPIRED

Business

First Name

JEFFREY

Middle

Last Name

DE PERIO

Business Name

JEFFREY A DE PERIO

Original Issue Date

05/09/1989

Effective Date

05/09/1989

Expiration Date

06/30/1994

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Addiction Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006