GINA M DIEUDONNE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125023790

License Status

EXPIRED

Business

First Name

GINA

Middle

Last Name

DIEUDONNE

Suffix

Business Name

GINA M DIEUDONNE MD

Original Issue Date

05/12/1989

Effective Date

05/12/1989

Expiration Date

06/25/1992

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

10/02/2006