DOUGLAS CHARLES DEDELOW DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125028324

License Status

EXPIRED

Business

First Name

DOUGLAS CHARLES

Last Name

DEDELOW

Suffix

Business Name

DOUGLAS CHARLES DEDELOW DO

Original Issue Date

05/26/1992

Effective Date

05/26/1992

Expiration Date

06/21/1995

City

CHICAGO

State

Zip

60615

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006