MICHAEL F DUPONT MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125025095

License Status

EXPIRED

Business

First Name

MICHAEL F

Last Name

DUPONT

Suffix

Business Name

MICHAEL F DUPONT MD

Original Issue Date

05/25/1990

Effective Date

05/25/1990

Expiration Date

06/24/1993

City

LAGRANGE

State

Zip

60525

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006