JOSE A DE PERIO III MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125028555

License Status

EXPIRED

Business

First Name

JOSE A

Last Name

DE PERIO III

Suffix

Business Name

JOSE A DE PERIO III MD

Original Issue Date

06/03/1992

Effective Date

06/03/1992

Expiration Date

06/21/1995

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006