KATHELYNE G DELSUPEHE Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125030743

License Status

EXPIRED

Business

First Name

KATHELYNE

Middle

Last Name

DELSUPEHE

Business Name

KATHELYNE G DELSUPEHE

Original Issue Date

09/08/1993

Effective Date

09/08/1993

Expiration Date

08/31/1994

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Otolaryngology

Ever Disciplined

LastModifiedDate

09/22/2006