MICHAEL E DIEPERINK MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125028222

License Status

EXPIRED

Business

First Name

MICHAEL E

Last Name

DIEPERINK

Suffix

Business Name

MICHAEL E DIEPERINK MD

Original Issue Date

05/18/1992

Effective Date

05/18/1992

Expiration Date

06/24/1995

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006