STEPHEN J DESIDERO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125028665

License Status

EXPIRED

Business

First Name

STEPHEN

Middle

Last Name

DESIDERO

Business Name

STEPHEN J DESIDERO

Original Issue Date

06/09/1992

Effective Date

06/09/1992

Expiration Date

06/30/1995

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006