DAVE A DEANGELES Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125026154

License Status

EXPIRED

Business

First Name

DAVE

Middle

Last Name

DEANGELES

Business Name

DAVE A DEANGELES

Original Issue Date

04/17/1991

Effective Date

04/17/1991

Expiration Date

06/29/1994

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

09/22/2006