PAULA WILLOUGHBY DEJESUS DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125025516

License Status

EXPIRED

Business

First Name

PAULA

Middle

WILLOUGHBY

Last Name

DEJESUS

Suffix

Business Name

PAULA WILLOUGHBY DEJESUS DO

Original Issue Date

06/18/1990

Effective Date

06/18/1990

Expiration Date

06/21/1993

City

CHICAGO

State

Zip

60615

County

COOK

Specialty/Qualifier

Family Practice & OMT

Ever Disciplined

LastModifiedDate

09/22/2006