MARY T DEGENEFFE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125026300

License Status

EXPIRED

Business

First Name

MARY T

Last Name

DEGENEFFE

Suffix

Business Name

MARY T DEGENEFFE MD

Original Issue Date

04/30/1991

Effective Date

04/30/1991

Expiration Date

06/30/1994

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006