ANDRE T DEJEAN Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125031398

License Status

EXPIRED

Business

First Name

ANDRE

Middle

Last Name

DEJEAN

Business Name

ANDRE T DEJEAN

Original Issue Date

05/23/1994

Effective Date

05/23/1994

Expiration Date

06/30/1998

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Pathology

Ever Disciplined

LastModifiedDate

09/22/2006